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Tricuspid valve prolapse: A common occurrence in the click‐murmur syndrome
Author(s) -
Schlamowitz Robert A.,
Gross Steven,
Keating Edward,
Pitt William,
Mazur John
Publication year - 1982
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870100906
Subject(s) - medicine , mitral valve prolapse , parasternal line , tricuspid valve , cardiology , mitral valve , physical examination , surgery
Abstract Isolated mitral valve prolapse (MVP) may represent one end of a spectrum of disease involving dysfunction of multiple cardiac valves. Eighty‐nine consecutive patients with MVP diagnosed by two‐dimensional echocardiography (2‐D echo) were prospectively studied specifically to determine the incidence of tricuspid valve prolapse (TVP) and its clinical correlations. Criteria for prolapse of the atrioventricular (A‐V) valves by 2‐D echo included extension of the valve leaflets behind an imaginary line defining the valve annulus. Forty‐one of 82 patients with MVP had associated TVP. No significant differences existed between patients with isolated MVP and combined A‐V valve prolapse with regard to sex, clinical history, symptoms, or physical examination. The parasternal long axis view was more sensitive than the apical four chamber view in diagnosing prolapse of either mitral or tricuspid valves. Thus, TVP is a frequent concomitant of MVP and occurs with equal frequency in both young and old patients.