Case 003 - Patient With Palpitations and a Systolic Murmur
A 24-year-old female presented with palpitations and easy fatigue. The electrocardiogram was normal. In the physical exam a midsystolic click and a soft late systolic murmur were present. Echocardiography was performed:

This patient has:

1. 
   Functional mitral regurgitation.
   
2. 
   Bileaflet mitral valve prolapse.
   
3. 
   Posterior mitral valve prolapse.
   
4. 
   Anterior mitral valve prolapse.
   

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<p>Bileaflet mitral valve prolapse.</p>


According to current guidelines, antibiotic prophylaxis is recommended:

1. 
   In all patients with mitral valve prolapse.
   
2. 
   In patients with mitral valve prolapse if mitral regurgitation is severe.
   
3. 
   Only if the valve is structurally abnormal (myxomatous).
   
4. 
   In patients with myxomatous mitral valve prolapse and mitral regurgitation.
   

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<p>In patients with myxomatous mitral valve prolapse and mitral regurgitation.</p>