Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T00:56:27.121Z Has data issue: false hasContentIssue false

Prevalence of mitral valvar prolapse in young athletes

Published online by Cambridge University Press:  01 August 2008

Absalom D. Hepner
Affiliation:
University of California, Irvine Medical Center, Orange, California, United States of America
Holly Morrell
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Seaneen Greaves
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Jeff Greaves
Affiliation:
A Heart For Sports, Yorba Linda, California, United States of America
Mohammad Reza Movahed*
Affiliation:
Sarver Heart Center, University of Arizona College of Medicine, Tucson, Arizona, United States of America Department of Medicine, Division of Cardiology, Southern Arizona VA Health Care System, Tucson, Arizona, United States of America A Heart For Sports, Yorba Linda, California, United States of America
*
Correspondence to: M. Reza Movahed, MD, PhD, FACP, FACC, FSCAI, University of Arizona Sarver Heart Center, 1501 N Campbell Avenue, Tucson, AZ 85745, USA. Tel: (520) 626 6223; Fax: (520) 626 5181; E-mail: [email protected]; [email protected]

Abstract

Background

The prevalence of mitral valvar prolapse has been reported to be between 0.6 and 21%. The goal of our study was to evaluate its prevalence in young athletes who underwent hand-held echocardiography as a screening mostly in southern California.

Methods

We retrospectively analyzed 1742 echocardiograms that were performed as a part of a cardiac screening of teenage athletes. The total prevalence of mitral valvar prolapse was calculated and stratified based on gender.

Results

We screened a total of 1172 male and 570 female high school athletes. The echocardiographic prevalence of mitral valvar prolapse was 0.9%. The prevalence was similar in both genders, at 1.2% in male and 0.7% in female athletes.

Conclusion

The prevalence of mitral valvar prolapse in young athletes mostly in southern California was found to be less than 1%, and was similar in both genders.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Barlow, JB, Bosman, CK. Aneurysmal protrusion of the posterior leaflet of the mitral valve. An auscultatory-electrocardiographic syndrome. Am Heart J 1966; 71: 166178.CrossRefGoogle ScholarPubMed
2.Criley, JM, Lewis, KB, Humphries, JO, Ross, RS. Prolapse of the mitral valve: clinical and cine-angiocardiographic findings. Br Heart J 1966; 28: 488496.CrossRefGoogle ScholarPubMed
3.Cheng, TO, Barlow, JB. Mitral leaflet billowing and prolapse: its prevalence around the world. Angiology 1989; 40: 7787.CrossRefGoogle ScholarPubMed
4.Sakamoto, T. Phonocardiographic assessment of the prevalence of mitral valvar prolapse in the prospective survey of heart disease in schoolchildren: a seven year cumulative study. Acta Cardiol 1983; 38: 261262.Google Scholar
5.Shah, PM. Echocardiographic diagnosis of mitral valvar prolapse. J Am Soc Echocardiogr 1994; 7 (Pt 1): 286293.CrossRefGoogle Scholar
6.Noah, MS, Alharthy, SS, Joharjy, IA, Alsedairy, RM. Prevalence of mitral valvar prolapse in healthy Saudi women. Int J Cardiol 1987; 14: 6569.CrossRefGoogle Scholar
7.Darsee, JR, Mikolich, JR, Nicoloff, NB, Lesser, LE. Prevalence of mitral valvar prolapse in presumably healthy young men. Circulation 1979; 59: 619622.CrossRefGoogle Scholar
8.Procacci, PM, Savran, SV, Schreiter, SL, Bryson, AL. Prevalence of clinical mitral-valve prolapse in 1169 young women. N Engl J Med 1976; 294: 10861088.CrossRefGoogle ScholarPubMed
9.Markiewicz, W, Stoner, J, London, E, Hunt, SA, Popp, RL. Mitral valvar prolapse in one hundred presumably healthy young females. Circulation 1976; 53: 464473.CrossRefGoogle Scholar
10.Gupta, R, Jain, BK, Gupta, HP, Ranawat, SS, Sharma, AK, Gupta, KD. Mitral valvar prolapse: two dimensional echocardiography reveals a high prevalence in three to twelve year old children. Indian Pediatr 1992; 29: 415423.Google Scholar
11.Zuppiroli, A, Favilli, S, Risoli, A, et al. Mitral valvar prolapse. A prevalence study using bidimensional echocardiography in a young population. G Ital Cardiol 1990; 20: 161166.Google Scholar
12.Warth, DC, King, ME, Cohen, JM, Tesoriero, VL, Marcus, E, Weyman, AE. Prevalence of mitral valvar prolapse in normal children. J Am Coll Cardiol 1985; 5: 11731177.CrossRefGoogle Scholar
13.Flack, JM, Kvasnicka, JH, Gardin, JM, Gidding, SS, Manolio, TA, Jacobs, DR Jr. Anthropometric and physiologic correlates of mitral valvar prolapse in a biethnic cohort of young adults: the CARDIA study. Am Heart J 1999; 138 (Pt 1): 486492.CrossRefGoogle Scholar
14.Theal, M, Sleik, K, Anand, S, Yi, Q, Yusuf, S, Lonn, E. Prevalence of mitral valvar prolapse in ethnic groups. Can J Cardiol 2004; 20: 511515.Google Scholar
15.Oladapo, OO, Falase, AO. Prevalence of mitral valvar prolapse in healthy adult Nigerians as diagnosed by echocardiography. Afr J Med Med Sci 2001; 30: 1316.Google Scholar
16.Devereux, RB, Jones, EC, Roman, MJ, et al. Prevalence and correlates of mitral valvar prolapse in a population-based sample of American Indians: the Strong Heart Study. Am J Med 2001; 111: 679685.CrossRefGoogle Scholar
17.Lee, WR, Sheikh, MU, Lee, KJ. Prevalence of mitral valvar prolapse in presumably healthy Korean adults. Clin Cardiol 1985; 8: 356358.CrossRefGoogle Scholar
18.Bryhn, M, Persson, S. The prevalence of mitral valvar prolapse in healthy men and women in Sweden. An echocardiographic study. Acta Med Scand 1984; 215: 157160.CrossRefGoogle Scholar
19.Hickey, AJ, Wilcken, DE. Prevalence of mitral-valve prolapse in an Australian population. Lancet 1980; 1: 1366.CrossRefGoogle Scholar
20.Freed, LA, Levy, D, Levine, RA, et al. Prevalence and clinical outcome of mitral-valve prolapse. N Engl J Med 1999; 341: 17.CrossRefGoogle ScholarPubMed
21.Hepner, A, Ahmadi-Kashani, M, Movahed, MR. The prevalence of mitral valvar prolapse in patients undergoing echocardiography for clinical reason. Int J Cardiol 2007; 123: 5557.CrossRefGoogle Scholar