| Mitral valve prolapse syndrome and associated thoracic skeletal abnormalities. | |
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MedLine Citation:
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PMID: 1800499 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Clinical characteristics of 60 (41 males, 19 females) patients with echocardiographically proven mitral valve prolapse were analysed, with special interest in the associated thoracic skeletal abnormalities. There was a male preponderance (2.2:1) and 91.7% of patients were symptomatic--atypical chest pain, palpitations, exertional dyspnoea and easy fatiguability being the major symptoms. Sixty seven percent had an asthenic body habitus, and 55% had high-arched palate. Thoracic scoliosis (55%), straight back syndrome (50%), flat chest (46.7%), and pectus excavatum (20%) were seen in association with the condition, with 81.7% having any one or combination of these features. Lateral chest radiography showed pancaking of heart shadow in 48.3%. Isolated non-ejection systolic click(s) was the major cardiac auscultatory finding (61.7%), while 60% showed pansystolic prolapse on echocardiography. Electrocardiographic ST-T-U changes in the inferior and/or lateral chest leads were seen in 46.7%, while 16.7% had cardiac arrhythmias. None had infective endocarditis, heart failure or cerebral embolic events. The findings corroborate the view that thoracic skeletal anomalies may be regarded as non-auscultatory features of this syndrome. |
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Authors:
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U K Kumar; K V Sahasranam |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the Association of Physicians of India Volume: 39 ISSN: 0004-5772 ISO Abbreviation: J Assoc Physicians India Publication Date: 1991 Jul |
Date Detail:
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Created Date: 1992-04-23 Completed Date: 1992-04-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7505585 Medline TA: J Assoc Physicians India Country: INDIA |
Other Details:
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Languages: eng Pagination: 536-9 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Medical College, Calicut, Kerala. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arrhythmias, Cardiac / complications Asthenia / pathology Bone Diseases / complications, pathology Child Child, Preschool Female Humans Male Middle Aged Mitral Valve Prolapse / complications*, pathology Palate / abnormalities Syndrome Thorax / abnormalities*, pathology |
| Comments/Corrections | |
Comment In:
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J Assoc Physicians India. 1992 Jul;40(7):488-90
[PMID:
1301049
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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