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Mitral valve prolapse syndrome and associated thoracic skeletal abnormalities
1Department of Cardiology, Medical College, Calicut, Kerala.
Summary
Mitral valve prolapse often presents with thoracic skeletal abnormalities, including scoliosis and pectus excavatum. These skeletal features are common in patients with mitral valve prolapse and may be considered non-auscultatory indicators.
Area of Science:
- Cardiology
- Orthopedics
- Genetics
Background:
- Mitral valve prolapse (MVP) is a common cardiac condition.
- Associated skeletal abnormalities are frequently observed but not always emphasized.
Purpose of the Study:
- To analyze the clinical characteristics of patients with echocardiographically proven MVP.
- To investigate the prevalence and types of associated thoracic skeletal abnormalities in MVP patients.
Main Methods:
- Retrospective analysis of clinical data from 60 patients with MVP.
- Assessment of thoracic skeletal features through physical examination and radiography.
- Echocardiographic and electrocardiographic evaluations.
Main Results:
- A male predominance (2.2:1) and high symptom rates (91.7%) were noted, with chest pain and dyspnea being common.
- Significant prevalence of thoracic skeletal abnormalities: scoliosis (55%), straight back syndrome (50%), flat chest (46.7%), pectus excavatum (20%).
- 81.7% of patients exhibited at least one skeletal abnormality; pancaking of the heart shadow was seen in 48.3% on chest X-ray.
Conclusions:
- Thoracic skeletal anomalies are frequently associated with mitral valve prolapse.
- These skeletal findings can be considered important non-auscultatory features of the mitral valve prolapse syndrome.