MITRAL VALVULAR PROLAPSE AND MYOCARDIAL-I SCHEMIA - REPORT OF 2 CASES

The authors report two cases of severe myocardial ischaemia with healt hy coronary arteries associated with mitral valvular prolapse (MVP), T he first case was a 43-year-old woman treated with beta-blockers follo wing the discovery of MVP. This patient was admitted to hospital six m onths later with persistent chest pain in a context of cardiogenic sho ck. The response to treatment was rapid and spectacular. The second ca se was a 44-year-old hypertensive smoker man in whom assessment of che st pain revealed several signs of myocardial infarction as well as MVP . This rare combination of MVP and myocardial ischaemia raises pathoph ysiological as well as therapeutic problems.