Forbes R B, Morton G H
Can Anaesth Soc J. 1979 Sep;26(5):424-7. doi: 10.1007/BF03006459.
Mitral valve prolapse is a common cardiac abnormality associated with arrhythmias and sudden death. In most instances it can be diagnosed on the basis of physical findings. Those patients who are symptomatic or who display electrocardiographic abnormalities appear to be most susceptible to arrhythmias and, therefore, may be at increased risk for anaesthesia. Because the syndrome is relatively common and may present a very innocent clinical picture, anaesthetists should be aware of this condition and the problems it may present. A case of mitral valve prolapse syndrome associated with ventricular fibrillation on induction of anaesthesia is reported. The symptoms and pathophysiology of the disorder are reviewed and the potential problems and the anaesthetic management are discussed.
二尖瓣脱垂是一种常见的心脏异常，与心律失常和猝死相关。在大多数情况下，可根据体格检查结果进行诊断。有症状或心电图异常的患者似乎最易发生心律失常，因此麻醉风险可能增加。由于该综合征相对常见，且临床表现可能很轻微，麻醉医生应了解这种情况及其可能带来的问题。本文报告了一例麻醉诱导时发生心室颤动的二尖瓣脱垂综合征病例。本文回顾了该疾病的症状和病理生理学，并讨论了潜在问题及麻醉处理。
