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:: Volume 7, Issue 2 (Summer 2007) ::
J Ardabil Univ Med Sci 2007, 7(2): 132-136 Back to browse issues page
An Electrocardiographic Changes in Mitral valve prolapse (a case-control study)
Adalat Hosseinian , Saeid Sadeghieh Ahari, Hosein Dostcami, Sooreh Sheikham
Abstract:   (7424 Views)

  Background & Objectives: Mitral valve prolapse (MVP) syndrome is one of the most prevalent abnormalities of mitral valve that arises from pathologic changes of the various parts of mitral valve. MVP may lead to ECG changes, like T wave inversion in inferior leads and atrial and ventricular arrhythmias, in some people that may be misdiagnosed as myocardial ischemia.

  Methods: This was an analytical (case-control) study in 50 cases with MVP with age below 30 years who had referred to the Ardabil Bouali Hospital and some private cardiology clinics. The diagnosis of MVP was based on clinical and echocardiographic findings, and after taking history and physical examination, an ECG and an echocardiogram were taken from each person in case and control groups and the acquired information was analyzed via statistical methods of SPSS software.

  Results: From 50 studied cases with MVP, 60% (30 cases) were female and 40% (20 cases) were male, and the most common age range was 21 – 25 years. From these cases, 68% (34 persons) had changes in their ECGs while %32 (16 subjects) did not. In control group, from 50 persons, 44% (22 persons) had ECG changes and 56% (28 persons) did not.

  Conclusion: In general this study showed that increase in ECG changes in MVP group in comparison with control group (p=0.01). In cases with MVP, there was not significant relationship between gender and ECG changes. In comparing case and control groups, there was not significant difference in ECG changes in females, while there was a significant difference in males (14 of 20 versus 6 of 20) w ith considering that ECG changes in persons with MVP may be misdiagnosed as ischemic heart disease,it is recommended that cases (especially men) with MVP always keep a record of their ECGs.

Keywords: Mitral valve prolapse, echocardiography, electrocardiography
Full-Text [PDF 142 kb]   (2437 Downloads)    
Type of Study: article | Subject: Special
Received: 2005/08/6 | Accepted: 2007/07/12 | Published: 2008/01/16
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Hosseinian A, Sadeghieh Ahari S, Dostcami H, Sheikham S. An Electrocardiographic Changes in Mitral valve prolapse (a case-control study). J Ardabil Univ Med Sci. 2007; 7 (2) :132-136
URL: http://jarums.arums.ac.ir/article-1-383-en.html


Volume 7, Issue 2 (Summer 2007) Back to browse issues page
مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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