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年轻及中青年患者二尖瓣叶脱垂与脑缺血事件的关联

Association of mitral valve leaflet prolapse with cerebral ischaemic events in the young and early middle-aged patient.

作者信息

Kouvaras G, Bacoulas G

出版信息

Q J Med. 1985 Jul;56(219):387-92.

PMID:4095250
Abstract

In order to clarify possible links between mitral valve leaflet prolapse and cerebral ischaemic events we carried out a study prospectively over a period of two years on 66 patients (35 men and 31 women) under the age of 50 who suffered from transient cerebral ischaemic attacks or completed strokes. Twenty-three (34.8 per cent) of the 66 patients were found to have mitral valve leaflet prolapse syndrome. In 16 (24.2 per cent) of those, the only abnormality found was mitral valve leaflet prolapse, suggesting that the mitral valve leaflet prolapse syndrome may be a potential cause of cerebral ischaemic events. Therapeutic approaches for preventing further similar events are discussed.

摘要

为了阐明二尖瓣叶脱垂与脑缺血事件之间可能存在的联系,我们对66例年龄在50岁以下、患有短暂性脑缺血发作或完全性卒中的患者(35名男性和31名女性)进行了为期两年的前瞻性研究。66例患者中有23例(34.8%)被发现患有二尖瓣叶脱垂综合征。在其中16例(24.2%)患者中,唯一发现的异常是二尖瓣叶脱垂,这表明二尖瓣叶脱垂综合征可能是脑缺血事件的一个潜在原因。文中还讨论了预防进一步类似事件的治疗方法。

相似文献

1
Association of mitral valve leaflet prolapse with cerebral ischaemic events in the young and early middle-aged patient.年轻及中青年患者二尖瓣叶脱垂与脑缺血事件的关联
Q J Med. 1985 Jul;56(219):387-92.
2
[Mitral valve prolapse and cerebral ischemic strokes].
Rev Neurol (Paris). 1983;139(2):155-6.
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Mitral valve prolapse: an assessment of clinical features, associated conditions and prognosis.二尖瓣脱垂:临床特征、相关病症及预后评估
Q J Med. 1983 Spring;52(206):150-64.
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Mitral valve prolapse and amaurosis fugax.二尖瓣脱垂与一过性黑矇
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Survival advantage and improved durability of mitral repair for leaflet prolapse subsets in the current era.当代二尖瓣脱垂亚组修复的生存优势及耐久性改善
Ann Thorac Surg. 2006 Sep;82(3):819-26. doi: 10.1016/j.athoracsur.2006.03.091.
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[Mitral valve prolapse: a severe abnormality?].[二尖瓣脱垂:一种严重异常?]
Arch Mal Coeur Vaiss. 1991 Jul;84(7):981-6.
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[Mitral valve prolapse as a probable cause of cerebral ischemia. A case report].[二尖瓣脱垂作为脑缺血的可能病因。病例报告]
Arq Bras Cardiol. 1989 Jan;52(1):43-6.
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[Mitral valve prolapse and platelet activity in young patients with cerebral ischaemia (author's transl)].年轻脑缺血患者的二尖瓣脱垂与血小板活性(作者译)
Dtsch Med Wochenschr. 1982 Mar 19;107(11):410-4. doi: 10.1055/s-2008-1069945.
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How does the use of polytetrafluoroethylene neochordae for posterior mitral valve prolapse (loop technique) compare with leaflet resection? A prospective randomized trial.聚四氟乙烯人工腱索用于二尖瓣后叶脱垂(圈套技术)与瓣叶切除术相比效果如何?一项前瞻性随机试验。
J Thorac Cardiovasc Surg. 2008 Nov;136(5):1205; discussion 1205-6. doi: 10.1016/j.jtcvs.2008.07.028. Epub 2008 Sep 14.
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Further evidence relating mitral-valve prolapse to cerebral ischemic events.二尖瓣脱垂与脑缺血事件相关的进一步证据。
N Engl J Med. 1980 Jan 17;302(3):139-44. doi: 10.1056/NEJM198001173020303.

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