Stoian I, Ginghină C, Apetrei E, Carp C
Clinica de Cardiologie, Spitalul Clinic Fundeni.
Rev Med Interna Neurol Psihiatr Neurochir Dermatovenerol Med Interna. 1990 Jan-Feb;42(1):59-68.
The object of the present investigation was the discovery of the arrhythmias in the patients with prolapse of the mitral valve (PMV), the types of arrhythmias, the factors favouring them, the therapy used. In a group of 126 patients suffering from PMV, 25 had mitral insufficiency, and 48% of the cases had arrhythmias too. The ventricular arrhythmias existed in 18 patients, in the most of them as ventricular extrasystoles. Only in 2 cases, ventricular paroxysmal tachycardia was noticed, and only one case of ventricular fibrillation was recorded. The following conclusions were drawn from the study: the increase of arrhythmias is low, their appearance is correlated with mitral insufficiency, ventricular arrhythmias are predominant, the majority are benign, they are more frequent than in the patients with neurovegetative dystonia (if considering the prolapse associated with systolic murmur), necessity of periodic control for discovering the cases with high risk of ventricular arrhythmias with malignant potential.
本研究的目的是发现二尖瓣脱垂（PMV）患者的心律失常情况、心律失常的类型、促发因素以及所采用的治疗方法。在一组126例PMV患者中，25例存在二尖瓣关闭不全，且48%的病例也有心律失常。18例患者存在室性心律失常，其中大多数为室性早搏。仅2例发现室性阵发性心动过速，仅记录到1例心室颤动。从该研究得出以下结论：心律失常的发生率较低，其出现与二尖瓣关闭不全相关，室性心律失常为主，大多数为良性，与神经官能症患者相比更为常见（如果考虑伴有收缩期杂音的脱垂情况），有必要进行定期检查以发现具有恶性潜能的室性心律失常高风险病例。
