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二尖瓣脱垂:是时候重新审视了。

Mitral valve prolapse: time for a fresh look.

作者信息

Playford D, Weyman A E

机构信息

Massachusetts General Hospital, Boston, MA, USA.

出版信息

Rev Cardiovasc Med. 2001 Spring;2(2):73-81.

PMID:12439384
Abstract

To what extent is prolapse of the mitral valve associated with mitral regurgitation and the risk of infective endocarditis, rupture of the chordae tendineae, and sudden death? Earlier studies used differing definitions and criteria, and reported prevalence of this deformity varied widely, especially between referral and general population studies. Advances in echocardiography have clarified the diagnosis, allowing classification of prolapse into subtypes associated with different degrees of risk and prognoses.

摘要

二尖瓣脱垂与二尖瓣反流、感染性心内膜炎风险、腱索断裂及猝死的关联程度如何?早期研究使用了不同的定义和标准,且报道的这种畸形的患病率差异很大,尤其是在转诊研究和普通人群研究之间。超声心动图技术的进步已使诊断更加明确,能够将脱垂分为与不同风险程度和预后相关的亚型。

相似文献

1
Mitral valve prolapse: time for a fresh look.二尖瓣脱垂:是时候重新审视了。
Rev Cardiovasc Med. 2001 Spring;2(2):73-81.
2
High prevalence of unrecognized chordae tendineae rupture in mitral valve prolapse patients undergoing valve replacement surgery.在接受瓣膜置换手术的二尖瓣脱垂患者中,未识别的腱索断裂的高发率。
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[Usefulness of high resolution transesophageal echocardiography for diagnosis of ruptured chordae tendineae of the mitral valve: clinical and echocardiographic characteristics].[高分辨率经食管超声心动图对二尖瓣腱索断裂诊断的应用价值:临床及超声心动图特征]
J Cardiol Suppl. 1991;26:69-74.
4
Differentiating clinical and echocardiographic characteristics of chordal rupture detected in patients with rheumatic mitral valve disease and floppy mitral valve: impact of the infective endocarditis on chordal rupture.风湿性二尖瓣疾病和二尖瓣脱垂患者中检测到的腱索断裂的临床和超声心动图特征鉴别:感染性心内膜炎对腱索断裂的影响。
Eur J Echocardiogr. 2005 Mar;6(2):117-26. doi: 10.1016/j.euje.2004.07.011.
5
[Transesophageal echocardiographic findings of mitral valve prolapse].[二尖瓣脱垂的经食管超声心动图表现]
J Cardiol Suppl. 1989;21:85-91, discussion 92-5.
6
An unusual cause of severe mitral regurgitation: aberrantly inserted chordae tendineae.严重二尖瓣反流的一种罕见病因:腱索异常附着。
J Am Soc Echocardiogr. 2008 Jan;21(1):90.e3-4. doi: 10.1016/j.echo.2007.07.002. Epub 2007 Sep 14.
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[Mitral insufficiency due to ruptured chordae tendineae--clinical features, early and late results of valve replacement and repair].[腱索断裂所致二尖瓣关闭不全——临床特征、瓣膜置换与修复的早期及晚期结果]
Nihon Kyobu Geka Gakkai Zasshi. 1989 Jan;37(1):1-10.
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Follow-up observations in patients with mitral valve prolapse.二尖瓣脱垂患者的随访观察
Herz. 1988 Oct;13(5):326-34.
9
[Mitral valve prolapse: a severe abnormality?].[二尖瓣脱垂:一种严重异常?]
Arch Mal Coeur Vaiss. 1991 Jul;84(7):981-6.
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[Clinicopathologic study of mitral regurgitation due to abnormal chordae tendineae].[腱索异常所致二尖瓣反流的临床病理研究]
J Cardiol. 1996 Apr;27(4):187-95.

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Increased frequency of mitral valve prolapse in patients with deviated nasal septum.
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