Common association of neuro-cardio symptomatology in mitral valve prolapse patients: a study of 240 Mvp patients with varied neuro and cardioclinical presentations

Mitral valve prolapse (MVP) is an echocardiographic finding which is frequently associated with cardiovascular symptomatology. In fact these symptoms are variable in nature and it constitutes a syndrome like presentation. These patients exhibit some neuro psychiatric presentation also This study highlights frequent coincidence of neuro cadio symptomatology in MVP patients. Panic attack is the most common associated clinical presentation. More than 38 % of patients with MVP have features of panic attack. It must be emphasized that treatment of panic attack will be sufficient enough in this benign condition. Information about valvular abnormality will only add to the anxiety level of these patients. Hence clinicians should exercise their full judgement in informing patients about MVP diagnosis

Impact of spiral orientation of myofibres and ventricular syncitium: study of left ventricular dysfunction in 22 patients of copd with cor-pulmonale with normal coronary arteries.

Clinical presentation of breathlessness on exertion is often confused between angina equivalent - breathlessness and pulmonary origin breathlessness. echocardiographyand Dop-pler evaluation has been used for differentiating these aetiologies in an individual. However, at times even echocardiography is not informative as it brings out biventricular dysfunction and hence LV dysfunction can not be ruled out in COPD, cor-pulmonale patients on clinical grounds alone. Established cases of COPD, cor-pulmonale may have. significant LV dysfunction also. The possible explanation of this biventricular dysfunction is anatomical. These patients have LVD without IHD. EGG evidence and angiographic evidence of IHD is lacking though LV dysfunction is present. The observational study tries to evaluate left ventricular function in COPD, cor-pulmonale patients