Rao Praveen K, Tandon Anumeha, Wang Haojie, Blough Britton, Rosenblatt Randall, Roberts William C, Meyer Dan M
Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas, USA.
Division of Cardiology, Baylor Scott & White The Heart Hospital, Dallas, Texas, USA.
Proc (Bayl Univ Med Cent). 2025 Feb 25;38(4):548-552. doi: 10.1080/08998280.2025.2464465. eCollection 2025.
We describe a case of likely arrhythmic mitral valve prolapse (MVP) resulting in cardiac arrest, cardiopulmonary resuscitation, and initiation of extracorporeal membranous oxygenation. The case provides the clinical stimulus to review what knowledge exists, and what data gaps remain, to guide clinicians toward a proactive approach in managing arrhythmic mitral valve prolapse, a rare but potentially fatal condition. Since MVP is rare, performing several imaging modalities on every patient in whom there is a clinical suspicion would have a low yield. However, raising awareness of concerning features on history, electrocardiogram, and transthoracic echocardiography could improve the utility of more advanced imaging studies.
我们描述了一例可能因心律失常性二尖瓣脱垂（MVP）导致心脏骤停、心肺复苏并启动体外膜肺氧合的病例。该病例促使我们回顾现有知识以及仍存在的数据空白，以指导临床医生对心律失常性二尖瓣脱垂采取积极的管理方法，这是一种罕见但可能致命的疾病。由于MVP罕见，对每一位临床怀疑患有该病的患者进行多种成像检查的收益较低。然而，提高对病史、心电图和经胸超声心动图中相关特征的认识，可能会提高更先进成像研究的效用。
