DACOSTA DESCRIBED "IRRITABLE HEART" in 1871,1 a peculiar form of functional disorder of the heart seen in the military population during the War Between the States. He thought this disorder was similar to that described earlier among British troops in India and in the Crimean War. The disorder frequently presented either after an episode of diarrhea and persisted after the digestive disturbance...

background: mitral valve prolapse (mvp) is now recognized as the most common cardiovalvular abnormality (cva) in the usa, but there has been much less agreement about other aspects of its epidemiology, diagnosis and clinical features. cva analysis still relies mainly on the visual assessment of echocardiographic imaging and manual measurements by experienced cardiologists. so, automating or sem...

Methods From July 2010 to April 2013, 95 consecutive patients (mean age, 63 ± 20 years, mean LVEF, 50% ± 15 %), with severe mitral valve regurgitation ( ischemic 17%. PML-prolapse 7.3 %. AMLprolapse 2, 1%. PML and AML-Prolaps 6.3 %. Endocarditis 2.1 %. Barlow 1%. Cleft with AML+ PML Prolapse 11,5%. AML. Descaling 5, 2%.) underwent mitral valve repair. Anticipated length of loops was assessed wi...

Mitral Valve Prolapse does not cause chest pain or other symptoms and is extremely unlikely to give rise to complications. In practice it is difficult to differentiate a 'prolapsing' valve from one that is 'normal' no matter what methods are used. Since diagnosing 'heart disease' is itself a well known cause of ill health, the most stringent criteria must be adopted before the mitral valve is l...

We analyzed the use of amyl nitrite as a provocative factor in the diagnosis of mitral valve prolapse in a population of healthy young adults. Sixty-five men and 11 women underwent continuous M-mode echocardiographic and phonocardiographic monitoring before, during and after the administration of inhaled amyl nitrite. All of the 76 subjects had normal baseline echocardiograms, and all had a sat...

Functional ischemic mitral regurgitation (MR) is now receiving increased attention as one of the last frontiers in mitral valve repair as well as a therapeutic opportunity in heart failure (1–5). Valve repair has proved more challenging for ischemic MR than for degenerative mitral valve prolapse, in which surgery is tailored to the detailed anatomy displayed by echocardiography and inspection. ...

Mitral valve (MV) repair is the procedure of choice for MV prolapse or flail. However, valve repair is more technically demanding and requires a precise definition of MV morphology to determine the timing, complexity, and feasibility of repair. We prospectively examined 170 consecutive patients with MV prolapse or flail referred for MV repair. The MV valve was systematically assessed by intraop...

Isolated left ventricular noncompaction cardiomyopathy (IVNC) is a cardiomyopathy thought to be caused by arrest of normal embryogenesis of the endocardium and myocardium. This abnormality is often associated with other congenital cardiac defects. A 21-year-old man presented to the emergency department with worsening exertional dyspnea during the previous 2 months. Two-dimensional and Doppler e...

A 30-year-old male patient presented with Glanzmann's thrombasthenia and mitral valve prolapse. He was in acute decompensated congestive heart failure due to severe mitral and tricuspid regurgitation. After his cardiac failure had been stabilized, the patient was subjected to mitral and tricuspid valve repair. His transfusion requirements were guided by thrombelastography and his bleeding disor...

Sir: We read the article ‘Anatomic characteristics of bileaflet mitral valve prolapse – Barlow disease – in patients undergoing mitral valve repair’ by Rostagno et al. (2014) with great interest. In this article, they shared their surgical observations about bileaflet mitral valve prolapse (MVP) in terms of mitral valve repair. We appreciated their experiences on mitral valve repair in patients...