Mitral Annular Disjunction in Mitral Leaflet Prolapse: Prevalence, Clinical Profile and Echocardiographic Features at Tertiary Cardiac Care Centre, Rawalpindi

Objective: To determine the prevalence of Echocardiographically-recognizable Mitral Annular Disjunction in patients Myxomatous Valve Disease/Mitral Leaflet Prolapse.
 Study design: Analytical Cross sectional .
 Place & Duration study: Armed Forces Institute Cardiology/National Heart Disease (AFIC/NIHD),Rawalpindi Pakistan from Jul 2021 to Sep 2021.
 Methodology: A total (n=45) diagnosed disease, were included through non-probability consecutive sampling. (MAD) was assessed by 2D TTE imaging as distance between point insertion posterior leaflet into left atrial wall (upper boundary disjunction) and link atrium ventricle myocardium (lower border disjunction)at end-systole parasternal long axis view. equal or greater than 2mm used a threshold for diagnosing presence MAD. The data analysis done with help computer software programme SPSS version 24.
 Results: Total number 45 males being 32 (71.11%) while females 13 (28.88%), mean age 30.24 + 5.21 years. MAD present 26 (57.8%) length 2.88mm 2.77 mm. Patients had more chest pain, palpitations dyspnoea those without regurgitation severe without. severity correlated Non Sustained Ventricular Tachycardia.
 Conclusion: is not an uncommon finding having myxomatous mitral valve disease/mitral prolapse........