{
  "schema_version": 1,
  "kind": "condition",
  "id": "cardiac-valve-prolapse",
  "name": "Cardiac valve prolapse",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class KD71.00 - condition scope only, no dose · Mitral Valve Prolapse - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK430788/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Cardiac valve prolapse - disease-level clinical article (cardiac-valve-prolapse-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 348,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Mitral valve prolapse is most commonly an asymptomatic, benign echocardiographic finding. In primary care, reassure asymptomatic patients without significant regurgitation that routine antibiotic prophylaxis is not required. Refer to cardiology if the patient develops symptoms such as palpitations, chest pain, syncope, severe mitral regurgitation, or signs of heart failure.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Mitral valve prolapse is most commonly an asymptomatic, benign echocardiographic finding. In primary care, reassure asymptomatic patients without significant regurgitation that routine antibiotic prophylaxis is not required. Refer to cardiology if the patient develops symptoms such as palpitations, chest pain, syncope, severe mitral regurgitation, or signs of heart failure.",
      "cautions": [
        "RED FLAG - Infective endocarditis presentation (fever, new or changing murmur): assess urgently and refer.",
        "RED FLAG - Embolic stroke / TIA: assess urgently and refer.",
        "Significant valve regurgitation, palpitations or arrhythmia, chest pain, symptoms of heart failure.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Family history of arrhythmogenic mitral valve prolapse (AMVP) requires cardiology evaluation/referral for primary prevention strategies such as ICDs."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "cardiac-valve-prolapse"
    }
  ]
}