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.