Mokrievich E A, Iurenev A P, Nikulin I A
Kardiologiia. 1990 Sep;30(9):35-7.
Out of 99 examinees, 78 patients had mitral valve prolapse of various degree. The control group included 21 individuals without the prolapse who had the same clinical signs. All the patients underwent Holter monitoring and bicycle ergometry; diagnostic transesophageal atrial pacing was performed in 26 examinees. Rhythm and conduction disturbances were shown to occur as frequently in patients with mitral valve prolapse as in the controls. For diagnosing extrasystolic arrhythmias, it was recommended to apply Holter monitoring to detect paroxysmal supraventricular tachyarrhythmias and to employ transesophageal cardiac pacing to find accessory pathways.
在99名受检者中，78例患者有不同程度的二尖瓣脱垂。对照组包括21名无脱垂但有相同临床体征的个体。所有患者均接受动态心电图监测和自行车运动试验；26名受检者进行了诊断性经食管心房起搏。结果显示，二尖瓣脱垂患者出现节律和传导紊乱的频率与对照组相同。对于诊断期前收缩性心律失常，建议应用动态心电图监测以检测阵发性室上性快速性心律失常，并采用经食管心脏起搏来发现附加通路。
