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. 2021 Feb 1;11:2719. doi: 10.1038/s41598-021-81648-z

Table 2.

Echocardiographic findings of young male and female participants with mitral valve prolapse and those without.

Total (n = 242) Males (n = 254) Females (n = 288)
MVP (−)
(n = 2360)
MVP (+)
(n = 82)
p-value MVP (−)
(n = 2077)
MVP (+)
(n = 77)
p-value MVP (−)
(n = 283)
MVP (+)
(n = 5)
p-value
Cardiac geometry*
Aortic valve open (mm), PLAX 19.84 ± 2.04 19.46 ± 2.08 0.15 20.13 ± 1.91 19.68 ± 1.96 0.10 17.75 ± 1.67 16.20 ± 0.45 0.05
Aortic root dimension (mm), PALX 29.53 ± 3.53 29.48 ± 2.67 0.87 29.95 ± 3.44 29.74 ± 2.53 0.78 26.40 ± 2.34 25.40 ± 1.14 0.55
LV mass (gm), PLAX 149.12 ± 35.76 155.38 ± 36.26 < 0.01 154.82 ± 33.55 158.70 ± 34.82 0.02 107.26 ± 20.44 104.21 ± 9.73 0.83
LV posterior wall (mm), PLAX 8.53 ± 1.11 8.73 ± 1.13 0.01 8.69 ± 1.05 8.84 ± 1.08 0.03 7.36 ± 0.79 7.00 ± 0.00 0.47
LV internal dimension in diastole (mm), PLAX 48.78 ± 3.71 49.10 ± 3.40 0.16 49.26 ± 3.51 49.35 ± 3.32 0.35 45.22 ± 3.16 45.20 ± 2.28 0.69
LV internal dimension in systole (mm), PLAX 30.56 ± 3.44 30.64 ± 3.39 0.74 30.94 ± 3.38 30.73 ± 3.45 0.93 27.87 ± 2.55 29.00 ± 1.72 0.37
Interventricular septum, (mm), PLAX 8.74 ± 1.21 8.95 ± 1.13 0.02 8.91 ± 1.15 9.04 ± 1.11 0.08 7.48 ± 0.85 7.60 ± 0.55 0.45
RV wall thickness (mm)a, PLAX 4.66 ± 0.63 4.40 ± 0.68 < 0.01 4.70 ± 0.62 4.42 ± 0.69 < 0.01 4.33 ± 0.58 4.07 ± 0.50 0.50
RV outflow tract dimension in diastole (mm), PLAX 26.57 ± 3.99 25.41 ± 4.35 0.01 26.79 ± 3.97 25.68 ± 4.35 0.06 24.96 ± 3.76 21.40 ± 1.14 0.05
Left atrial dimension (mm), PLAX 32.88 ± 4.06 32.10 ± 4.17 0.15 33.22 ± 4.06 32.32 ± 4.18 0.26 30.38 ± 3.03 28.60 ± 2.07 0.33
LV hypertrophy 114 [4.8] 3 [3.7] 0.62 102 [4.9] 3 [3.9] 0.68 12 [4.2] 0 [00.0] 0.63
RV hypertrophya 206 [10.1] 2 [2.9] 0.04 187 [10.5] 2 [3.1] 0.05 19 [7.5] 0 [00.0] 0.52
Cardiac functional assessment
LV ejection fraction (%), PLAX 61.90 ± 5.06 62.61 ± 4.23 0.21 61.97 ± 5.13 62.64 ± 4.32 0.26 61.43 ± 4.44 62.20 ± 2.59 0.70
Tricuspid valve prolapse, PSAX 388 [16.4] 17 [20.7] 0.30 350 [16.9] 16 [20.8] 0.36 38 [13.4] 1 [20.0] 0.67
Aortic regurgitation ≥ mild grade 38 [1.6] 1 [1.2] 0.78 34 [1.6] 1 [1.3] 0.81 4 [1.4] 0 [0.0] 0.78
Mitral regurgitation ≥ mild grade 1760 [74.6] 69 [84.1] 0.04 1544 [74.3] 65 [84.4] 0.04 216 [76.3] 4 [80.0] 0.84
Pulmonary regurgitation ≥ mild grade 1442 [61.1] 53 [64.6] 0.51 1293 [62.3] 50 [64.9] 0.63 149 [52.7] 3 [60.0] 0.74
Tricuspid regurgitation ≥ mild grade 1884 [79.8] 62 [75.6] 0.35 1657 [79.8] 60 [77.9] 0.69 227 [80.2] 2 [40.0] 0.02
RV systolic pressure (mmHg) 27.31 ± 4.67 26.63 ± 4.62 0.19 27.39 ± 4.70 26.81 ± 4.66 0.29 26.73 ± 4.35 23.80 ± 2.78 0.13
Peak E velocity (cm/s) 85.84 ± 15.49 86.26 ± 14.70 0.81 84.69 ± 15.02 86.02 ± 15.03 0.44 93.91 ± 17.17 89.90 ± 8.41 0.60
Peak A velocity (cm/s) 49.46 ± 10.72 45.87 ± 9.83  < 0.01 49.28 ± 10.67 46.01 ± 10.06  < 0.01 50.80 ± 11.04 43.78 ± 5.41 0.15
E/A ratio 1.81 ± 0.50 1.95 ± 0.46 0.01 1.79 ± 0.49 1.94 ± 0.48 0.01 1.94 ± 0.57 2.06 ± 0.10 0.65
Peak E′ velocity (cm/s) 16.73 ± 5.72 15.98 ± 3.19 0.24 16.56 ± 5.93 15.94 ± 3.23 0.37 17.99 ± 3.70 16.54 ± 2.80 0.38
Peal A′ velocity (cm/s) 8.30 ± 3.17 7.34 ± 1.98 < 0.01 8.28 ± 3.27 7.34 ± 2.01 0.01 8.47 ± 2.27 7.31 ± 1.48 0.25
E′/A′ ratio 2.19 ± 1.08 2.34 ± 0.84 0.21 2.18 ± 1.12 2.34 ± 0.85 0.21 2.26 ± 0.69 2.35 ± 0.64 0.76

Continuous variables are expressed as mean ± SD (standard deviation), and categorical variables as N [%].

BSA body surface area, LV left ventricle, RV right ventricle, PLAX echocardiographic parasternal long axis view, PSAX echocardiographic parasternal short axis view

aN = 2102 in total (N = 1842 for males and N = 260 for females).

*indicates the p-value for the echocardiographic geometry variables with adjustment for body surface area.