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- W2077396668 abstract "<h2>Abstract</h2> Mitral valve prolapse is characterized clinically by a nonejection systolic click and a late systolic murmur and angiographically by end-systolic bulging of one or both mitral leaflets into the left atrium. If one accepts the end-systolic configuration of the left ventriculogram as the diagnostic standard, recent studies suggest that mitral valve prolapse may frequently be associated with certain other forms of cardiac disease. To determine the incidence of this finding in patients unselected for their primary cardiac diagnosis, the left ventricular angiograms from 336 consecutive patients (223 men and 133 women) were analyzed. Six patients had the clinical diagnosis of click-murmur syndrome, and all six had angiographic prolapse. Leaflet bulging was also present in 52 of 131 patients with ischemic heart disease (40 percent), 27 of 84 with rheumatic valve disease (32 percent), 3 of 19 with cardiomyopathy (16 percent), 5 of 12 with congenital heart disease (42 percent) and 50 of 84 with chest pain and no significant coronary artery disease (60 percent). Technically satisfactory echocardiograms were available from 140 of these patients; mitral valve prolapse was evident in the echocardiograms of 9 (6.4 percent), including 6 with the click-murmur syndrome. Thus, angiographie mitral valve prolapse was present in 43 percent of cases and occurred without predilection for any diagnostic subgroup. Echocardiographic prolapse was less common but correlated well with the presence of the click-murmur syndrome. Some end-systolic bulging of posterior mitral leaflet scallops therefore is a common angiographic finding that should probably not be considered pathologic in the absence of other features of the click-murmur syndrome." @default.
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- W2077396668 date "1977-08-01" @default.
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- W2077396668 title "Angiographic diagnosis of mitral valve prolapse: Correlation with echocardiography" @default.
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- W2077396668 doi "https://doi.org/10.1016/0002-9149(77)90003-0" @default.
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