Mid-systolic click, late systolic murmur syndrome associated with complete heart block.
A 60 year old woman is presented who had the mid-systolic click, late systolic murmur syndrome, documented by phonocardiogram and left ventricular angiography. During an episode of non-anginal chest pain, advanced heart block was demonstrated and permanent transvenous pacemaker therapy was subsequently instituted. The association of the mid-systolic click, late systolic murmur syndrome and heart block is reviewed. It is suggested that 24-hour continuous electrocardiographic monitoring, as well as exercise stress testing, be included in the evaluation of patients with this syndrome.
D000790:Angiocardiography; D006328:Cardiac Catheterization; D004562:Electrocardiography; D005260:Female; D006326:Heart Auscultation; D006327:Heart Block / Q000175:diagnosis*; D006337:Heart Murmurs; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis; D008991:Monitoring, Physiologic; D010138:Pacemaker, Artificial; D010701:Phonocardiography; D013577:Syndrome