MVP: A CLINICAL AND ECHOCARDIOGRAPHIC EXPERIENCE OF MITRAL VALVE PROLAPSE IN KHYBER PAKHTOONKHWA

Abstract

Objective: To study the clinical presentation and echocardiographic findings in
patients having mitral valve prolapse.
Methodology: This observational study was conducted in cardiology department
LRH Peshawar, from December 2012 to March 2013. All patients with
echocardiographic evidence of mitral valve prolapse were included in the study.
Their clinical presentation and echo cardiographic characteristics were studied.
Results: A total of 142 patients have echocardiographic evidence of mitral valve
prolapse were included. Their mean age was 19.45±7.32 years. Males were
57(40.14%). The most frequent symptoms were palpitation in 128(90.14%),
chest pain in 111(78.16%), dizziness and vertigo in 103(72.34%).Mean BP was
101.34±14.32 mmHg systolic and 60.24±15.87 mmHg diastolic. Mean pulse
rate was 82.46±18.74 per minute. Midsystolic ejection click was found in
79(55.63%), late systolic murmur in 47(33.08%), pansystolic murmur was
observed in 7(4.9%). AF was found in 19(13.38%) and complete RBBB in
11(7.74%). Echo findings were having thin leaf mitral valve(Non Classic MVP) in
113(79.58%) and thick leaflet(classic MVP) in 29(20.42%).Severe mitral
regurgitation in 8(5.6%), severe PAH 2(1.4%), Mean LA size was 4.13±1.3cm,
Mean Left ventricular end diastolic diameter (LVEDD) was 5.13±1.4cm, Mean
Ejection Fraction(EF) was 60.45±6.8%. Mean age of patients having classic
MVP(29(20.42%)) was 31±7.8 years, 10(34.48%) have AF, 6(20.69%) have
severe MR, 2(6.9%) have severe PAH ,mean LA size was 4.52±1.7cm, mean
LVEDD was 5.56±2.1cm and mean EF was 53.76±8.5%.
Conclusion: Nonclassic MVP is more frequent than classic form. Patients with
classic MVP is more often have older age, severe MR and ECG findings of
arrhythmias than non classic form.