<prompt> All the following are true for mitral valve prolapse exceptTransmission may be as an autosomal dominant traitMajority of the case present with features of mitral regurgitationThe valve leaflets characteristically show myxomatousThe disease is one of the common cardiovascular manifestations og Marfans syndrome  <response>: Ref Harrison 19 th ed pg 1546 Most patients are asymptomatic and remain so for their entire lives. However, in Noh America, MVP is now the most common cause of isolated severe MR requiring surgical treatment. Arrhythmias, most commonly ventricular premature contractions and paroxysmal supraventricular and ventricular tachycardia, as well as AF, have been repoed and may cause palpitations, light-headedness, and syncope. 