Mitral Valve Prolapse and Spasm of Normal Coronary Arteries: Report of Four Cases and Review of the Literature

Rippe, James M.; Singh, Jang B.; Jarvais, Nancy; Adams, Eileen; Erkkila, Kevin
May 1984
Angiology;May1984, Vol. 35 Issue 5, p300
Academic Journal
The association between mitral valve prolapse (MVP) and atypical chest pain has been well-described. Numerous theories have been proposed to explain this association. A number of lines of evidence suggest that underlying ischemia may cause chest pain in some patients with MVP. We have recently evaluated 4 patients with chest pain syndromes who had angiographic evidence of MVP and spasm of angiographically normal coronary arteries. The possibility that coronary spasm is the underlying, etiology of chest pain in some patients with mitral valve prolapse raises a theoretical argument against β-blockade in these patients. Three of our patients were successfully treated with calcium channel blockers.


Related Articles

  • KORONER ARTER ÇIKIÅž ANOMALÄ°SÄ° VE MÄ°TRAL KAPAK PROLAPSUSU. Demir, Mehmet // Nobel Medicus Journal;Sep-Dec2009, Vol. 5 Issue 3, p99 

    Mitral Value Prolopse (MVP) is defined as the systolic billowing of one or both mitral leaflets into the left atrium, with or without mitral regurgitation. it is the most common form of valvular heart disease, occurring in 3 to 6 percent of the population: Patients with MVP also frequently...

  • Mitral Valve Prolapse. Gopalaswamy, C. // Angiology;May1984, Vol. 35 Issue 5, p290 

    Mitral valve prolapse is a very common condition. It occurs in 4–5% of the population. It may be idiopathic or associated with a number of other conditions. Myxomatous degeneration is the underlying mechanism of mitral valve prolapse. Most patients with mitral valve prolapse have no...

  • ASK THE DOCTOR.  // Heart Advisor;Jan2014, Vol. 17 Issue 1, p8 

    The article presents questions and answers related to heart attack including the influence of normal cholesterol to heart attack, the chest pain as angina attack and the occasional panic attacks for mitral valve prolapse.

  • Esophageal Disorders in Patients with Chest Pain and Mitral Valve Prolapse. Spears, Paul F.; Koch, Kenneth L. // American Journal of Gastroenterology;Oct1986, Vol. 81 Issue 10, p951 

    The origin of chest discomfort in patients with mitral valve prolapse is controversial. We performed esophageal manometry in 18 patients with mitral valve prolapse, chest pain, and no significant coronary artery disease at cardiac catheterization. Fourteen of the 18 had esophageal disorders:...

  • Making sense of ECGs Chest pain 3. Dean, John // Update;4/1/2004, Vol. 68 Issue 6, p300 

    The article interprets the case of a 72-year-old woman with maturity-onset diabetes, who was admitted to the hospital with 'angina.' This was her third admission in four months. On her previous two admissions her ECG had been normal, but on this occasion it showed new changes. There is deep...

  • An unusual cause of chest pain and ST segment elevation. Asherson, A. P.; Ilsley, C. D. J.; Mittal, T. K. // Heart;Jan2006, Vol. 92 Issue 1, p100 

    The article presents information on causes of chest pain and ST segment elevation. A 22 year old naval serviceman is presented with a six day history of retrosternal chest pain and ST segment elevation. The chest pain was not typically ischaemic, nor did the patient have risk factors for...

  • Right coronary artery originating from left anterior descending artery: a case report. Tokmakoglu, Hilmi; Bozoglan, Orhan; Ozdemir, Levent // Journal of Cardiothoracic Surgery;2010, Vol. 5, p49 

    Right Coronary Artery (RCA) originating from left anterior descending artery is a very rare congenital coronary artery anomaly. A 66-year-old man presented with hypertension and complaints of exertional chest pain. The angiography was performed. Aortic root angiography showed no coronary ostium...

  • 364 Automated quantification of mitral ring displacements and velocities. Rabben, S. I.; Torp, A. H.; Støylen, A.; Ihlen, H.; Andersen, K.; Brodin, L. A.; Storaa, C.; Smiseth, O. A. // European Journal of Echocardiography;2003, Vol. 4 Issue suppl_1, pS41 

    An abstract of the article "Automated quantification of mitral ring displacements and velocities" by S. I. Rabben and colleagues is presented.

  • Effect of Slow Coronary Flow on P-Wave Duration and Dispersion. Turkmen, Muhsin; Barutcu, Irfan; Esen, Ali Metin; Karakaya, Osman; Esen, Oziem; Basaran, Yelda // Angiology;Aug/Sep2007, Vol. 58 Issue 4, p408 

    The slow coronary flow (SCF) phenomenon is often considered to be an incidental angiographic finding; however, several reports have shown it to be associated with cardiac events. In this study we aimed to assess P-wave duration and dispersion (PWD) in patients with SCF and to compare it with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics