A 27 year old woman with a thin body habitus is noted to have a midsystolic click followed by a late systolic murmur at the apex. When she stands from a squatting position, the click occurs earlier and the murmur lengthens. Which of the following is the most likely diagnosis?

  1. A)Aortic stenosis
  2. B)Atrial septal defect
  3. C)Mitral valve prolapseGABARITO
  4. D)Mitral regurgitation due to papillary rupture
  5. E)Hypertrophic cardiomyopathy

Explicação

Mitral valve prolapse is correct. Reduced left ventricular volume from standing causes earlier prolapse of the redundant mitral leaflets, so the click moves earlier and the late systolic murmur lengthens. This dynamic change is classic for mitral valve prolaps... Ver explicação completa e trilha adaptativa →

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