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Mitral Valve Prolapse Syndrome

The mitral valve prolapse syndrome (MVPS) is characterized clinically by midsystolic click and usually an associated late systolic murmur. Subjective symptoms include chest pain, dyspnea, fatigue and palpitations. Objective changes of arrhythmias, inferior wall ST-T changes by EKG and decreased exercise tolerance due to inappropriate tachycardia and/or hypertension by treadmill examination. The clinical significance of this syndrome has been questioned.~ Our analysis of 50 consecutive cases attempt to clarify the wide spectrum of clinical signs and symptoms.