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[Mitral valve prolapse syndrome]

H Bergmann, F Leisch, W Schützenberger

    Wiener Medizinische Wochenschrift (1946)
    |June 15, 1980
    PubMed
    Summary
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    Mitral valve prolapse syndrome was diagnosed in 9 of 24 patients presenting with arrhythmias or chest pain. Echocardiography confirmed prolapse, with symptoms including fatigue, chest pain, and tachycardia.

    Area of Science:

    • Cardiology
    • Diagnostic Imaging

    Background:

    • Investigating patients with arrhythmias or chest pain for mitral valve prolapse syndrome.
    • Assessing the diagnostic utility of echocardiography in identifying mitral valve prolapse.

    Observation:

    • Echocardiography identified mitral valve prolapse syndrome in 9 out of 24 investigated patients.
    • Clinical presentations included fatigue, dizziness, dyspnea, syncope, chest pain, paroxysmal tachycardia, and premature beats.
    • Auscultation revealed systolic clicks and murmurs; ECG showed premature ventricular contractions and ST-T abnormalities.

    Findings:

    • Echocardiography revealed late systolic prolapse in 6 patients and pansystolic prolapse in 3.
    • Angiography confirmed mitral valve prolapse in 3 cases, with normal hemodynamics and coronary arteries.

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  • Associated findings included mitral insufficiency and anterior wall asynergy in one case each.

    • Implications:

    • Highlights the prevalence of mitral valve prolapse syndrome in patients with cardiac symptoms.
    • Emphasizes the crucial role of echocardiography in diagnosing mitral valve prolapse.
    • Discusses the pathophysiology, clinical manifestations, and diagnostic findings of mitral valve prolapse syndrome.