Gayet J L, Fischer G, Silie M, Perinetti M, Allouach K, Marchand A, Delaye J
Ann Cardiol Angeiol (Paris). 1985 Oct;34(8):531-4.
27 patients with an acoustic neurinoma were submitted to a complete cardiological survey oriented towards the detection of mitral valve prolapse (2D echo) and ECG signs of a particular risk of arrhythmia (standard ECG and continuous Holter monitoring). 9 of these 27 patients presented MVP, but none of them presented any serious ventricular arrhythmias. The corrected QT interval was significantly longer in patients without MVP. The frequency of the association of MVP and acoustic neurinoma can not be explained simply by the female predominance of the series and its should be interpreted with reservation in the absence of a control series. The absence of pre-operative arrhythmia does not exclude the potentiating role of MVP in the development of certain cases of unexplained post-operative death.
27例听神经瘤患者接受了全面的心脏检查,旨在检测二尖瓣脱垂(二维超声心动图)以及心律失常特定风险的心电图征象(标准心电图和连续动态心电图监测)。这27例患者中有9例出现二尖瓣脱垂,但均未出现任何严重室性心律失常。无二尖瓣脱垂的患者校正QT间期明显更长。二尖瓣脱垂与听神经瘤的关联频率不能简单地用该系列中女性占优势来解释,在没有对照系列的情况下应谨慎解释。术前无心律失常并不排除二尖瓣脱垂在某些不明原因术后死亡病例发生中起增强作用。