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)
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
Anthony J. Bonner (Mon,) 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.