BACKGROUND Myxomatous mitral valve with prolapse are classically seen with abnormal leaflet apposition during contraction of the heart. Hemodynamic disorders can result from eccentric mitral regurgitation usually caused by chordae tendinae rupture or papillary muscle dysfunction. Echocardiography is the gold standard for evaluation of leaflet flail and prolapse due to high sensitivity and speci...

Objective. To investigate the biomechanical characteristics of the cornea in patients with mitral valve prolapse (MVP) and the prevalence of keratoconus (KC) in MVP. Materials and Methods. Fifty-two patients with MVP, 39 patients with KC, and 45 control individuals were recruited in this study. All the participants underwent ophthalmologic examination, corneal analysis with the Sirius system (C...

Objective: The high incidence of non-organ specific autoantibodies in patients with mitral valve prolapse (MVP) may suggest an association between MVP and autoimmune diseases. A higher incidence of MVP in patients with chronic lymphocytic thyroiditis and Graves’ disease has been demonstrated in various studies. In particular, an increased incidence of MVP in patients with autoimmune thyroid dis...

BACKGROUND To quantify mitral regurgitation (MR) with CMR, the regurgitant volume can be calculated as the difference between the left ventricular (LV) stroke volume (SV) measured with the Simpson's method and the reference SV, i.e. the right ventricular SV (RVSV) in patients without tricuspid regurgitation. However, for patients with prominent mitral valve prolapse (MVP), the Simpson's method ...

To ascertain the effects of surgical closure of atrial septal defect on left ventricular geometry and degree of mitral prolapse, 14 patients with atrial septal defect were studied by cross-sectional and M-mode echocardiography preoperatively and 7 days postoperatively. Seven of the 14 patients (50%) had mitral valve prolapse preoperatively by cross-sectional echocardiography. To quantitate the ...

Sir, One should differentiate angiographic prolapse from midsystolic click, the auscultatory hallmark of the mitral valve prolapse-click syndrome. In my articles quoted by the authors, I have refuted the causal association between coronary artery disease and the midsystolic click rather than between coronary artery disease and angiographic mitral valve prolapse. In coronary artery disease, angi...

BACKGROUND Little is known about the pathophysiology of myxomatous degeneration of the mitral valve, the pathological hallmark of mitral valve prolapse, associated with symptomatic mitral regurgitation, heart failure, and death. Excess transforming growth factor (TGF)-β signaling is known to cause mitral valve degeneration and regurgitation in a mouse model of Marfan syndrome. We examined if TG...

BACKGROUND AND PURPOSE Association of mitral valve prolapse (MVP) with ischemic neurological events (INEs) is uncertain. METHODS In the community of Olmsted County (Minn), we identified all MVP diagnosed (1989 to 1998) in patients in sinus rhythm with no prior history of INE. We measured INE rates and compared them with expected rates in our community to define the excess risk of INE. RESUL...

Although there have been multiple reports of sudden unexplained death in patients with mitral valve prolapse (MVP), prospective cohort studies have generally reported a benign prognosis in the absence of severe mitral regurgitation (MR). Recently, our group described bileaflet MVP syndrome (BiMVPS), which seems to be associated with an increased risk of sudden death. The syndrome is characteriz...

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