This study was carried out on 100 patients from preadolescents and adolescents diagnosed
as idiopathic MVP. All patients and control group were studied by history, clinical
examination, plain X-ray chest echocardiography examination and psychological
assessment. MVP was found to be more common in females than in males and the
prevalence of both anxiety and depression was higher in females than in males. Palpitation
and dyspnea were the most significant presenting symptoms of anxiety in patients
group as compared to control group. Palpitation, fear, numbness and dizziness were
significantly prevalent in older age group while nightmare and urinary symptoms were
more prevalent in younger age group. As regard depression symptoms, agitation, sleep
disturbance and decline of school performance were significantly prevalent in patients
group as compared to control group. Suicidal ideation was prevalent in older age group.
Anxiety was the most prevalent psychological disturbance in patients with MVP and
combined anxiety and depression was significantly higher in older age group. A highly
significant correlation was found between the presence of anxiety and the presence of
depression. Presence of cardiac symptoms in the form of palpitation, dyspnea and dizziness
were significantly related to the presence of anxiety, while palpitation and dizziness
were significantly related to the presence of depression in the patients with MVP. |
