I just remember Sattar saying MVP tends to be asymptomatic. Also, I think the kid complained specifically of coughing, and that made me really lean away from MVP.
MVP would less symptomatic during exercise. When you exercise, LVEDP increases. MVP is less likely as the cavity pressure increases. Moreover, MVP is most commonly asymptomatic.
Additionally, this patient also has family history of asthma.
Why it is not MVP:
Full quotation from UpToDate: "Symptoms [... such as] various nonspecific symptoms such as palpitations, dyspnea, exercise intolerance, and dizziness have been attributed to MVP. However, symptoms are not reliable indicators of MVP. Furthermore, symptoms frequently seen in individuals with MVP have not been conclusively determined to be more prevalent than in the general population. As an example, in a study of 147 patients referred for echocardiography for suspected MVP, the presence of symptoms was not associated with MVP on echocardiography (found in 22 percent) [43]. (See "Mitral valve prolapse syndrome".)"
i have answered this question right, but why there is mid systolic murmur in the stem?
submitted by โliltr(25)
I choose MVP too, but this patientโs main symptom is cough only during exercise. This is more indicative of exercised associated asthma. You could see shortness of breath in MVP during exercise, but choosing MVP leaves the cough unaccounted for.