Mitral valve prolapse: an update.

R. Jeresaty
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引用次数: 3

Abstract

MITRAL valve prolapse (MVP), defined as echocardiographic, angiographic, and pathological protrusion of the mitral leaflets into the left atrium during systole, may affect about 5% of the population and was first widely recognized in the mid-1960s.1-3It is frequently associated with a click and/or murmur. A syndrome consisting of nonspecific symptoms, electrocardiographic abnormalities, and arrhythmias has been recognized by many investigators.1-3Although doubt has recently been expressed about the existence of this syndrome,4-6the complications of MVP,2,7-10albeit rare, earn for it an important place in modern cardiology and may represent its "raison d'etre." Pathology and Etiology Because of the generally benign course of MVP, its underlying pathology has been well documented only in advanced forms that are associated with severe mitral insufficiency and have been termed the "floppy mitral valve."7,8Of great interest has been the demonstration of similar pathological changes in 26 patients
二尖瓣脱垂:最新进展。
二尖瓣脱垂(MVP),定义为超声心动图、血管造影和病理性二尖瓣小叶在收缩期向左心房突出,可影响约5%的人口,在20世纪60年代中期首次被广泛认识。它常伴有咔嗒声和/或杂音。一种由非特异性症状、心电图异常和心律失常组成的综合征已被许多研究者所认识。尽管最近对该综合征的存在表示怀疑,但MVP的并发症2,7-10虽然罕见,但在现代心脏病学中占有重要地位,并可能代表其“存在的理由”。由于MVP通常是良性的,其潜在的病理只有在与严重二尖瓣功能不全相关的晚期形式才有充分的文献记载,并被称为“软瓣二尖瓣”。引起极大兴趣的是在26例患者中出现了类似的病理变化
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