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Psychiatric and medical co-morbidity in mitral valve prolapse

Published online by Cambridge University Press:  13 June 2014

Efrain A Gonzalez ,
Claudia Pimentel ,
Ruby A Natale ,
Benjamin A Toll ,
Ariel Soffer  and
Leonard Gralnik
Efrain A Gonzalez
Affiliation:
University of Miami School of Medicine/Jackson Memorial Hospital, Mental Health Hospital Ctr, Rm 2303, 1695 NW 9th Avenue, Miami, FL 33136, United States
Claudia Pimentel
Affiliation:
George Washington University, United States
Ruby A Natale
Affiliation:
Nova Southeastern University, United States
Benjamin A Toll
Affiliation:
Nova Southeastern University, United States
Ariel Soffer
Affiliation:
Florida Institute for Cardiovascular Care, US
Leonard Gralnik
Affiliation:
Nova Southeastern Community Mental Health Centre, United States
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Abstract

Objective: Significant controversy continues to exist in the empirical literature regarding the diagnosis and treatment of mitral valve prolapse (MVP). In addition, there is also inconsistency in the correlation of anxiety disorders as co-existing with MVP, as well as cause and effect issues in terms of the role of the autonomic nervous system, MVP and panic attacks. Recent studies suggest that the co-morbidity of an anxiety disorder and clinical depression appears to increase the likelihood of MVP in predisposed patients. The objective of this review was to examine, clarify, and further define the medical and psychiatric aspects of MVP.

Methods: A literature review was conducted on empirical studies and reviews examining MVP.

Results: It was found that although MVP is highly correlated with psychiatric disorders, the lack of adequate control groups and clear criteria for a diagnosis of MVP in most empirical studies examining these associations make it difficult to determine the relationship between MVP and psychiatric disorders.

Conclusions: Suggestions for further research in the areas of depression and personality characteristics are offered. It is also suggested that the use of control groups from populations with cardiac disorders and a better definition of MVP will clarify many of the problems in empirical studies aiming to determine the relationship between MVP and psychiatric disorders.

Keywords

Mitral valve prolapseAnxiety disordersCardiologyCo-morbidityMVP (mitral valve prolapse)PD (panic disorder)MMPI (Minnesota Multiphasic Personality Inventory)STAI (State Trait Anxiety Inventory)
Type
Reviews
Information
Irish Journal of Psychological Medicine , Volume 19 , Issue 1 , March 2002 , pp. 16 - 20
Copyright
Copyright © Cambridge University Press 2002

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