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二尖瓣脱垂、心律失常与心源性猝死:多模态成像在检测高危特征中的作用

Mitral Valve Prolapse, Arrhythmias, and Sudden Cardiac Death: The Role of Multimodality Imaging to Detect High-Risk Features.

作者信息

Pavon Anna Giulia, Monney Pierre, Schwitter Juerg

机构信息

Cardiac MR Center (CRMC), Lausanne University Hospital (CHUV), 1100 Lausanne, Switzerland.

Cardiovascular Department, Division of Cardiology, Lausanne University Hospital (CHUV), 1100 Lausanne, Switzerland.

出版信息

Diagnostics (Basel). 2021 Apr 10;11(4):683. doi: 10.3390/diagnostics11040683.

DOI:10.3390/diagnostics11040683
PMID:33920162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8070466/
Abstract

Mitral valve prolapse (MVP) was first described in the 1960s, and it is usually a benign condition. However, a subtype of patients are known to have a higher incidence of ventricular arrhythmias and sudden cardiac death, the so called "arrhythmic MVP." In recent years, several studies have been published to identify the most important clinical features to distinguish the benign form from the potentially lethal one in order to personalize patient's treatment and follow-up. In this review, we specifically focused on for increased arrhythmic risk to whom the cardiologist must be aware of while performing a cardiovascular imaging evaluation in patients with MVP.

摘要

二尖瓣脱垂(MVP)于20世纪60年代首次被描述,通常为良性疾病。然而,已知有一部分患者发生室性心律失常和心源性猝死的几率较高,即所谓的“心律失常性MVP”。近年来,已发表了多项研究以确定区分良性形式与潜在致命形式的最重要临床特征,从而实现患者治疗和随访的个体化。在本综述中,我们特别关注了在对MVP患者进行心血管成像评估时,心脏病专家必须意识到的心律失常风险增加的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/f45e656c456a/diagnostics-11-00683-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/bfc2cc853268/diagnostics-11-00683-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/30e2c17d39d4/diagnostics-11-00683-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/f45e656c456a/diagnostics-11-00683-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/bfc2cc853268/diagnostics-11-00683-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/30e2c17d39d4/diagnostics-11-00683-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d80c/8070466/f45e656c456a/diagnostics-11-00683-g003.jpg

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Parameters associated with ventricular arrhythmias in mitral valve prolapse with significant regurgitation.
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