Key result
A 37-year-old patient with mitral valve prolapse demonstrated a striking early diastolic sound in addition to the typical midsystolic click and late systolic murmur.
Case Report (n=1)
This case report describes a rare early diastolic sound in a patient with mitral valve prolapse, investigated using echocardiography and phonocardiography.
May represent an additional auscultatory sign in mitral valve prolapse; hypothesis-generating and requires prospective validation.
The prolapsing or billowing mitral valve syndrome has received much attention in recent years because of both its ubiquity and the occasional occurrence of serious problems in relation to it.¹⁻⁴ Several physical findings have been related to this condition. The most striking and frequent finding is a midsystolic click (or clicks), which is followed frequently by a late systolic murmur.⁵,⁶Some patients have had a holosystolic murmur, sometimes rather intense, without any click at all.⁵⁻⁷Other patients demonstrate completely normal results of cardiac examinations in the presence of typical echocardiographic and angiographic evidence of prolapse.⁸,⁹ We have recently observed a patient with this syndrome who demonstrated, in addition to the midsystolic click and late systolic murmur, a striking early diastolic sound. Echocardiographic and phonocardiographic studies were carried out, along with pharmacologic interventions, in an effort to determine the nature of this sound. PATIENT SUMMARY A 37-year-old
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Anthony J. Bonner (1976) conducted a case report in Mitral valve prolapse (n=1). Echocardiographic and phonocardiographic studies was evaluated on Nature of the early diastolic sound. A 37-year-old patient with mitral valve prolapse demonstrated a striking early diastolic sound in addition to the typical midsystolic click and late systolic murmur.
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