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[妊娠期间的二尖瓣脱垂——这是一个真正的临床问题吗?]

[Mitral valve prolapse at pregnancy--is it a real clinical problem?].

作者信息

Kucharczyk-Petryka Ewa, Mamcarz Artur, Braksator Wojciech, Sawicki Włodzimierz, Dłuzniewski Mirosław

机构信息

Katedra i Klinika Kardiologii II Wydziału Lekarskiego AM w Warszawie.

出版信息

Pol Arch Med Wewn. 2005 Nov;114(5):1084-8.

Abstract

Mitral valve prolapse (MVP) effects more often young women. Symptomatology of MVP varies, symptoms are often nagging and some complications are of importance (mitral insufficiency and arrhythmias). Main objective of investigation was: estimation of the frequency and symptomatology of MVP during pregnancy. A group of 120 women in II/III of pregnancy were admitted to the maternity ward, where echocardiography and a survey have been performed. Two criteria were considered as the classical MVP: displacement toward the left atrium at > 2 mm and the thickness of valve > or = 5 mm. In case when the first criterion was fulfilled, the diagnosis was MVP non classic, in the second case MVP named non classic 2. Classical MVP was diagnosed in 10 patients--8.3% of the examined group. The group of 22 patients--18.3% was diagnosed MVP named non classic 2. MVP during pregnancy is frequent, it accounts for 8.3%. Varies symptomatology was characteristic for all the groups MVP. The most frequent complaints were: dizziness, palpitation, and faintness. There were observed statistically more often in the group with MVP. Women with MVP are not protected by pregnancy.

摘要

二尖瓣脱垂(MVP)更常影响年轻女性。MVP的症状表现各异,症状往往持续存在,且一些并发症较为重要(二尖瓣关闭不全和心律失常)。研究的主要目的是:评估孕期MVP的发生率和症状表现。一组120名处于妊娠中晚期的女性被收治入产科病房,在那里进行了超声心动图检查和一项调查。有两个标准被视为典型的MVP:二尖瓣向左心房移位>2毫米且瓣膜厚度>或 = 5毫米。若满足第一个标准,则诊断为非典型MVP,若满足第二个标准,则诊断为非典型2型MVP。10名患者被诊断为典型MVP——占受检组的8.3%。22名患者——占18.3%的组被诊断为非典型2型MVP。孕期MVP很常见,占8.3%。所有MVP组的症状表现各异。最常见的主诉是:头晕、心悸和昏厥。在MVP组中这些症状在统计学上出现得更频繁。患有MVP的女性并未因怀孕而受到保护。

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