Echocardiogram in Mitral Valve Prolapse with Mitral Regurgitation (MVP, MR)

Transcript of the video: Now we will discuss echocardiogram in mitral valve prolapse. It is a fairly common condition. But, even though mitral valve prolapse can be detected echocardiographically in many cases, there may not be significant regurgitation and symptoms in many of them. Many of them may have just echo diagnosis without other relevances. So we will see some of the features of mitral regurgitation.

This is an echocardiogram from the apical four chamber view, you can see all the cardiac chambers, interventricular septum, and you can very well see the bowing of the anterior mitral leaflet and posterior mitral leaflet, back into the left atrium during systole. The mitral valve is in the closed position. Billowing of the mitral leaflets is very well seen in this echocardiogram. And, when you put on the colour Doppler, you can see a turbulent jet, high velocity jet. Basically blue jet, means it is moving away from the transducer. If it was red, it would be towards the transducer. This is the blue jet. And, in high velocity jet, there will always be turbulence. Turbulence is shown in colour Doppler by variance, that is difference in colours. You have seen the mosaic pattern, different colours are seen due to the turbulence in the jet. High velocity turbulent jet due to mitral regurgitation.

This is the apical two chamber view, in mitral valve prolapse. If you tilt the transducer slightly from the apical four chamber view position, then you get the apical two chamber view. You can see the left ventricle, left atrium, and the mitral leaflets, closed position. Here also you can see the bowing of the mitral valve towards the left atrium and this is the regurgitant jet. Mitral regurgitation jet in MVP, MR. Mitral valve prolapse with mitral regurgitation.