TY  - JOUR
T1  - TRansient ischemic attack associated with mitral systolic clicks
AU  - Saffro R, Talano JV
Y1  - 1979/06/01
N1  - 10.1001/archinte.1979.03630430069022
JO  - Archives of Internal Medicine
SP  - 693
EP  - 694
VL  - 139
IS  - 6
N2  - A 26-year-old woman was seen at Northwestern Memorial Hospital, Chicago, because of posterior occipital headache associated with right upper extremity paresis and dysarthria that lasted a period of ten minutes. Physical examination disclosed straightening of the thoracic spine and minimal pectus excavatum. Precordial examination showed midsystolic and late systolic clicks; the earlier click was followed by a soft grade 2/6 murmur. Neurological examination disclosed slight hyperreflexia on the right side.An M-mode echocardiogram of the mitral valve, performed the day after admission, is shown below (Fig 1). What is your diagnosis?Diagnosis.—Mitral Valve Prolapse (Barlow's Syndrome 
    )The patient had a normal echocardiogram, chest x-ray film, EEG, and EMI scan; results of platelet aggregation studies were also normal. A treadmill stress test was performed, which did not provoke arrhythmias. A 24-hour ambulatory ECG monitor showed slight predisposition to faster than expected resting sinus rates, but no supraventricular or ventricular arrhythmias.
SN  - 0003-9926
M3  - doi: 10.1001/archinte.1979.03630430069022
UR  - http://dx.doi.org/10.1001/archinte.1979.03630430069022
ER  -