Boudoulas H, Schaal S F, Stang J M, Fontana M E, Kolibash A J, Wooley C F
Department of Internal Medicine, College of Medicine, Ohio State University, Columbus 43210.
Int J Cardiol. 1990 Jan;26(1):37-44. doi: 10.1016/0167-5273(90)90244-y.
Cardiac arrest has been reported in patients with mitral valve prolapse; however, clinical characteristics and survival information are limited since most of the cases reported include autopsy data. Nine patients (2 male, 7 female) with mitral valve prolapse were identified who had cardiac arrest; ventricular fibrillation was documented in 8 patients; resuscitation was unsuccessful in 2. Eight had a history of palpitations (months to 15 years duration) and ventricular arrhythmias, 3 had a history (5-15 years) of recurrent syncope, and 1 was totally asymptomatic. Cardiac catheterization-angiographic studies in 8 patients demonstrated normal coronary artery anatomy and mitral valve prolapse. All 9 patients had auscultatory and echocardiographic evidence of mitral valve prolapse. Seven survivors (6 still alive) were followed from 3 to 14 years after cardiac arrest. A subset of patients with mitral valve prolapse and cardiac arrest is described in whom past medical history is compatible with cardiac arrhythmias or syncope, and whose long-term prognosis appears better than patients with other causes of cardiac arrest.
二尖瓣脱垂患者曾有心脏骤停的报道；然而，由于大多数报道的病例包含尸检数据，其临床特征和生存信息有限。我们确定了9例发生心脏骤停的二尖瓣脱垂患者（2例男性，7例女性）；8例记录到心室颤动；2例复苏未成功。8例有心悸病史（持续数月至15年）及室性心律失常，3例有复发性晕厥病史（5 - 15年），1例完全无症状。8例患者的心脏导管造影研究显示冠状动脉解剖结构正常及二尖瓣脱垂。所有9例患者均有二尖瓣脱垂的听诊和超声心动图证据。7例幸存者（6例仍存活）在心脏骤停后3至14年接受随访。本文描述了一部分二尖瓣脱垂合并心脏骤停的患者，他们既往病史与心律失常或晕厥相符，且长期预后似乎优于其他原因导致心脏骤停的患者。
