While routine oral anticoagulation is not indicated for mitral valve prolapse, it is strongly recommended if the condition is accompanied by stroke.
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May increase recurrent stroke risk after OAC discontinuation in MVP with prior events; leaves open optimal duration in this subgroup.
A patient with mitral valve prolapse had two minor strokes after she stopped taking oral anticoagulants. While routine oral anticoagulant therapy is not indicated for mitral valve prolapse, such therapy is strongly recommended when this condition is accompanied by stroke.
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Mahapatra et al. (1980) studied this question.
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