BEWARE OF DIAGNOSIS OF MITRAL VALVE PROLAPSE SYNDROME
O P Kapoor
Ex-Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
I have been always teaching and writing that the so-called 30% of incidence of mitral valve prolapse syndrome specially seen in young women was due to wrong diagnosis. It has been proved that the saddle shape of the normal mitral leaflet gives appearance of prolapse on certain 2-D Echo views. Thus majority of the patients diagnosed as mitral valve prolapse have normal mitral valve.
In fact mitral valve prolapse syndrome is a rare entity and should be thought of only if clinically the patient has a mitral click and murmur and then such patients should be sent for 2-D Echo to confirm the diagnosis. Such patients are prone to infective endocarditis and should be given antibiotics before any surgery. They can rarely develop platelet emboli or cardiac arrhythmias.