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二尖瓣脱垂的演变:来自弗雷明汉心脏研究的见解。

The evolution of mitral valve prolapse: insights from the Framingham Heart Study.

作者信息

Niu Zhaozhuo, Chan Vincent, Mesana Thierry, Ruel Marc

机构信息

University of Ottawa Heart Institute, Ottawa, Canada;; Qingdao Municipal Hospital, Qingdao 266011, China.

University of Ottawa Heart Institute, Ottawa, Canada ;

出版信息

J Thorac Dis. 2016 Aug;8(8):E827-8. doi: 10.21037/jtd.2016.07.58.

DOI:10.21037/jtd.2016.07.58
PMID:27620164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4999697/
Abstract

The Framingham Heart Study group has described the non-diagnostic variants may evolve into mitral valve prolapse over time. These non-diagnostic variants include minimal systolic displacement, and abnormal anterior coaptation which is measured on surface echocardiography. Computed tomography and cardiac magnetic resonance imaging are evolving and can assess the degree of mitral regurgitation (MR); imaging techniques aside, genetic and proteomic detection of mitral prolapse is also evolving. However, the genetic basis for mitral prolapse is complex and likely involves multiple genetic loci. The same is also true for work determining possible biomarkers associated with mitral prolapse. The present study may be useful in counseling patients with a family history of mitral prolapse. Registry data is therefore of paramount importance in providing unbiased insight into this common disease.

摘要

弗明汉心脏研究小组描述了非诊断性变异可能随时间演变为二尖瓣脱垂。这些非诊断性变异包括最小收缩期移位,以及通过体表超声心动图测量的异常前叶对合。计算机断层扫描和心脏磁共振成像技术不断发展,能够评估二尖瓣反流(MR)的程度;除了成像技术外,二尖瓣脱垂的基因和蛋白质组检测也在不断发展。然而,二尖瓣脱垂的遗传基础很复杂,可能涉及多个基因位点。确定与二尖瓣脱垂相关的可能生物标志物的研究工作也是如此。本研究可能有助于为有二尖瓣脱垂家族史的患者提供咨询。因此,登记数据对于公正地了解这种常见疾病至关重要。

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本文引用的文献

1
Evolution of Mitral Valve Prolapse: Insights From the Framingham Heart Study.二尖瓣脱垂的演变:来自弗雷明汉心脏研究的见解。
Circulation. 2016 Apr 26;133(17):1688-95. doi: 10.1161/CIRCULATIONAHA.115.020621. Epub 2016 Mar 22.
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Genetic association analyses highlight biological pathways underlying mitral valve prolapse.基因关联分析揭示了二尖瓣脱垂背后的生物学途径。
Nat Genet. 2015 Oct;47(10):1206-11. doi: 10.1038/ng.3383. Epub 2015 Aug 24.
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Mutations in DCHS1 cause mitral valve prolapse.DCHS1基因的突变会导致二尖瓣脱垂。
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Familial clustering of mitral valve prolapse in the community.社区中二尖瓣脱垂的家族聚集性。
Circulation. 2015 Jan 20;131(3):263-8. doi: 10.1161/CIRCULATIONAHA.114.012594. Epub 2014 Oct 31.
5
Floppy mitral valve/mitral valve prolapse syndrome: Beta-adrenergic receptor polymorphism may contribute to the pathogenesis of symptoms.二尖瓣脱垂/二尖瓣脱垂综合征:β-肾上腺素能受体多态性可能与症状的发病机制有关。
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6
Proteomics discovery of biomarkers for mitral regurgitation caused by mitral valve prolapse.心脏二尖瓣脱垂导致二尖瓣关闭不全的生物标志物的蛋白质组学发现。
J Proteomics. 2013 Dec 6;94:337-45. doi: 10.1016/j.jprot.2013.10.009. Epub 2013 Oct 16.
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Mitral apparatus assessment by delayed enhancement CMR: relative impact of infarct distribution on mitral regurgitation.延迟强化 CMR评估二尖瓣装置:梗死分布对二尖瓣反流的相对影响。
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