[Mitral valve prolapse and panic disorder].
OBJECTIVE
To determine the incidence of mitral valve prolapse (MVP), using echocardiographic and auscultatory criteria, in cases of panic disorder (complicated or not with agoraphobia).


METHODS
Sixty-five patients (37 women) with panic disorder and without known cardiac disease, mean age 39.8 years (range 19-67) were studied. MVP was diagnosed when there was a typical auscultatory click or when the echocardiographic study (echo) registered one mitral lacinea 2 mm behind the C-D line at the "M" study or a systolic billowing of mitral leaflets in two views to the two-dimensional study.


RESULTS
MVP was found in 29 (44.6%) of the patients, 12 (42.7) men and 17 (49.5%) women. A click was found in 19 (24%) of the cases and the Echo was positive in 24 (39.6%) of the patients. Click and a positive Echo finding were identified in 14 patients.


CONCLUSIONS
MVP was found in panic cases, in incidence greater than in the general population.
Cordás
T A
TA
Instituto de Psiquiatria e Instituto do Coração do Hospital das Clínicas--FMUSP.
Rossi
E G
EG
Grinberg
M
M
Gentil
V
V
Bernik
M A
MA
Bellotti
G
G
Pileggi
F
F
D000328:Adult; D000368:Aged; D000379:Agoraphobia / Q000150:complications; D001314:Auscultation; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000175:diagnosis / Q000523:psychology*; D010200:Panic; D012737:Sex Factors
Prolapso valvar mitral e transtorno do pânico.