Mitral Valve Prolapse Syndrome: Experience In Pakistan

Abstract

MATERIAL AND METHODS:

Bet ween Dec. ‘78 and Feb. ‘80 270 patient seen in the OPD and wards of N.J .C.V.D. had Echocardiography evaluatior 38 patients were found to have isolatei mitral valve prolapse (MVP). Also, 18 patient had MVP with some other associated abnor mality. Of the Patients with MVP, 20 (53 had a pre-echo suspicion of MVP. There is some controversr regarding tie exact echo diagnosis of MVP, as a iarge spectrum of abnor?naiities mis been reported. v”v e rpade a definitive diagnosis of MVP 0fli when one of the above two patterns were recorded. Care was taken to eliminate the chances of artifactually producing the prolapse pattern by steep angulat ion upwards from the apex.

Results:
Total No. of patients 38.
Age : ranged from 3-55 years, mean 24
years. Majority of the patients were between
17-30 years.
Sex.’ Males 17, Females 21.

Discussion:

Mtral Valve Prolapse syndrome as anecdo-.. tally considered to be rare in Pakistan and a monograph was read at one of the local syrn posium presenting a few cases confirmed by phonocardiography (7).  Treatment involves mostly reassurance and permission to lead a full life, occasionally use of propranolol for symptoms and bacterial endocaditis prophylaxis in those with a clear cut syctnlic murmur. A lot ciisabilitv and anxIety can be relieved by recognition of this disease which s compatible with long term survival and good prognosis.