Nursing Diagnosis

Summarize at least  four (4) nursing diagnoses relevant to individuals with your disease. 


Risk for infection (endocarditis) R/T altered valve function.

Anxiety R/T fear of heart disease and implications for lifestyle.

Decreased cardiac output R/T altered valve function.

Activity Intolerance R/T decreased cardiac output and oxygenation.

MVP Support Groups

The Society for Mitral Valve Prolapse Syndrome/Dysautonomia

This support group provides open conversation in a step by step manner starting with introducing yourself and moving on to discussion of the disease to provide education and then opening up the forum to a general discussion where members are able to write, interact and support each other to know they are not alone.

http://www.mitralvalveprolapse.com/

MDJunction Mitral Valve Prolapse Online Support Group

This support groups is set up to act more like a blog where members are all able to post blogs into one stream and they show up in the trending feed where everyone is able to read and comment.

http://www.mdjunction.com/mitral-valve-prolapse

I Have Mitral Valve Prolapse Story Board

This support group is in the format of a trending feed like a blog, but the production of personal stories is encouraged and others are able to respond and give encouragement to each other.

http://www.experienceproject.com/groups/Have-Mitral-Valve-Prolapse/18228

Drugs.com Mitral Valve Prolapse Support Group

This support group is created by a website and has a question and answer format. The members are able to post questions on the forum and other members or the administrators of the website are able to respond to the questions.

http://www.drugs.com/answers/support-group/mitral-valve-prolapse/

MVP Apps

Androidpit Mitral Valve Prolapse App

The app provides information about MVP such as signs and symptoms as well as the treatment for MVP. This app is useful for educating people to a basic understanding of MVP and what ensues with it.

http://www.androidpit.fr/application/mitral.valve.prolapse.causes.diseases.symptoms.prevention.medicine


Mitral Valve Prolapse and Vitamins

This app comes from the Rodale book which indicates that magnesium may be helpful for symptoms related to MVP. The app teaches about the symptoms of MVP and the role magnesium plays .

http://www.mgwater.com/prev1808.shtml


Mitral Valve Prolapse Disease 1.0 APK

This app is an organized educational format that begins with the definition of the disease and follows with the symptoms and then treatment, all in an easy to read manner.

https://apk-dl.com/mitral-valve-prolapse-disease


Mitral Valve Prolapse by Anthony Komaroff

This app is also a book able to be downloaded from itunes. The app provides pictures, in depth explanations, and verifiable references to support the research and claims made throughout the experience.

https://itunes.apple.com/us/book/mitral-valve-prolapse/id718479738?mt=11

MVP websites

As MVP remains stable or progresses here are some helpful websites that provide information and reassurance about MVP and what to do in the event of worsening conditions:

American Heart Association (They know a thing or two about hearts)

• http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Problem-Mitral-Valve-Prolapse_UCM_450441_Article.jsp#.VtgH9ZMrK9Y

The Mayo Clinic (A good place to start)

• http://www.mayoclinic.org/diseases-conditions/mitral-valve-prolapse/basics/definition/con-20024748

The NIH (National Institute of Health, AKA the governments big ole information station)

• https://www.nhlbi.nih.gov/health/health-topics/topics/mvp

The Society for Mitral Valve Prolapse Syndrome/Dysautonomia (In case you like stories)

• http://www.mitralvalveprolapse.com/

Treatment of MVP

"Most people who have mitral valve prolapse (MVP) don’t need treatment because they don’t have symptoms and complications" (nih.gov, 2016).

"Even people who do have symptoms may not need treatment. The presence of symptoms doesn’t always mean that the backflow of blood through the valve is significant" (nih.gov,2016).

In the event that MVP has regurgitation the condition is treated with either medications or surgery.

Medications:

Beta blockers- prescribed to treat palpitations and chest discomfort in people with little to no backflow.

Significant backflow and symptoms results in prescriptions of:

Blood thinners- to prevent clots from forming.
Digoxin- to strengthen heart beat.
Diuretics- to remove excess fluid and sodium from the body and lungs.
Flecainide and Procainamide- to regulate heart rhythms.
Vasodilators- to reduce workload on the heart.

(nih.gov, 2016)


Surgery:

Traditionally, surgeons repair or replace the mitral valve.

Repair is more favorable considering it has less risk of infection and has more strength and success in the long run.

Replacements are with pig or cow heart valves, but the downside is that the valves weaken over a ten year period approximately.

(nih.gov, 2016)



(health.sjm.com, 2016)

References

https://www.nhlbi.nih.gov/health/health-topics/topics/mvp/treatment

https://health.sjm.com/heart-valve-answers/treatment-options/heart-valve-replacement

MVP Signs and Symptoms

Most people with MVP have no symptoms at all, but in the small population that endures symptoms chest pain in the most frequently reported (Webmd.com)

(www.pinterest.com)

Mitral regurgitation also is mostly commonly from MVP and can, over years and decades, lead to congestive heart failure which presents with swelling of the legs and shortness of breath with exertion (Webmd.com).



(www.heart-valve-surgery.com)


Lesser symptoms linked to MVP include:

• Heart palpiations
• Dizziness
• Syncope
• Anxiety and panic
• Numbness and tingling of the hands and feet

(Webmd.com)

References

http://www.webmd.com/heart/mitral-valve-prolapse-symptoms-causes-and-treatment#2

How to Diagnosis MVP!

The echocardiogram is the gold standard diagnostic tool for determining if a person has mitral valve prolapse (MVP). In a Framington heart study it was determined by Freed et al that the echocardiogram criteria for MVP included classic and non-classic MVP.

Classic MVP: The parasternal long axis view show > 2mm superior displacement of the mitral leaflets into the left atrium during systole, with a leaflet thickness of at least 5mm.

Non-classic MVP: Displacement is > 2mm, with a maximal leaflet thickness of < 5mm.

(medscape.com)


(myheart.net)

(myheart.net)


(clevelandclinicmeded.com)


(ehjcimaging.org)

References

http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/mitral-valve-disease/

http://ehjcimaging.oxfordjournals.org/content/11/4/307

http://emedicine.medscape.com/article/155494-workup#showall

Freed LA, Benjamin EJ, Levy D, et al. Mitral valve prolapse in the general population: the benign                     nature of echocardiographic features in the Framingham Heart Study. J Am Coll Cardiol.                     2002 Oct 2. 40(7):1298-304.

http://myheart.net/articles/mitral-valve-prolapse-part-5-from-fiasco-to-sensibility-how-common-is-it/