Conclusion
MAD is a structural abnormality of the mitral annulus which is usually
accompanying mitral valve prolapse. Our study suggests that MAD may
impair both regional and global LV functions that can be detected with
strain analysis. We conclude that longitudinal strain parameters are
affected and T wave inversion in ECG, increased dislodgement distance
and LGE are important parameters that can inform about more severe MVP
cases with MAD. MAD is a relatively new entity and further studies are
necessary to determine the optimal management strategy for patients with
MAD.
Patient Consent Statement: All participants gave written
consent.
Funding : None.
Acknowledgment: None.
Declaration of Conflict of Interest: All the authors declare no
conflict of interest.
Data Availability Statement : Data supporting the findings of
this study are available from the corresponding author on request.
Ethics Approval Statement: The local ethics research committee
approved the protocol.