二尖瓣脱垂的视觉并发症。
Visual complications of mitral leaflet prolapse.
作者信息
Wilson L A, Keeling P W, Malcolm A D, Russel R W, Webb-Peploe M M
出版信息
Br Med J. 1977 Jul 9;2(6079):86-8. doi: 10.1136/bmj.2.6079.86.
Abstract
Four young women and six older men with mitral leaflet prolapse presented with visual disturbances consistent with embolism in the ophthalmic or posterior cerebral circulation. Cardiac arrhythmias were common, but these are rarely associated with focal ischaemia. The evidence that mitral leaflet prolapse caused the embolism in these patients is suggestive but not conclusive. Further studies are needed. All patients with acute cerebral or ocular ischaemia should undergo through cardiovascular assessment, which should include routine echocardiography.
摘要
四名患有二尖瓣脱垂的年轻女性和六名老年男性出现了与眼科或大脑后循环栓塞相符的视觉障碍。心律失常很常见，但这些很少与局灶性缺血相关。二尖瓣脱垂导致这些患者发生栓塞的证据具有提示性，但并不确凿。需要进一步研究。所有急性脑缺血或眼缺血患者都应接受全面的心血管评估，其中应包括常规超声心动图检查。
相似文献
1
Visual complications of mitral leaflet prolapse.二尖瓣脱垂的视觉并发症。
Br Med J. 1977 Jul 9;2(6079):86-8. doi: 10.1136/bmj.2.6079.86.
2
[Visual complications of mitral leaflet prolapse (author's transl)].二尖瓣脱垂的视觉并发症（作者译）
J Fr Ophtalmol. 1980;3(5):319-22.
3
[Diagnosis of cardiac causes of cerebral embolism: a contribution to 2D echocardiography and long-term ECG].[脑栓塞心脏病因的诊断：二维超声心动图及长期心电图的作用]
Z Kardiol. 1989 Sep;78(9):598-601.
4
[Left cerebral ischemia in mitral valve aneurysm].二尖瓣动脉瘤导致的左脑缺血
Z Kardiol. 1993 Feb;82(2):135-9.
5
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.
6
Myotonic dystrophy, mitral valve prolapse, and cerebral embolism.
Stroke. 1982 Jan-Feb;13(1):93-4. doi: 10.1161/01.str.13.1.93.
7
Embolism in mitral valve prolapse.二尖瓣脱垂中的栓塞
Annu Rev Med. 1982;33:489-507. doi: 10.1146/annurev.me.33.020182.002421.
8
Mitral-annulus calcification and cerebral or retinal ischaemia.二尖瓣环钙化与脑或视网膜缺血。
Lancet. 1979 Aug 25;2(8139):383-5. doi: 10.1016/s0140-6736(79)90402-1.
9
Silent cerebral embolism in patients with rheumatic mitral valve disease.风湿性二尖瓣疾病患者的无症状脑栓塞
Can Med Assoc J. 1973 Sep 1;109(5):357-8.
10
Mitral valve prolapse, cerebral ischemia, and protein S deficiency.二尖瓣脱垂、脑缺血和蛋白S缺乏症。
Am J Med. 1988 May;84(5):974. doi: 10.1016/0002-9343(88)90083-6.
引用本文的文献
1
Central retinal artery occlusion with cilioretinal sparing in a patient with Eisenmenger syndrome.艾森曼格综合征患者伴有睫状视网膜动脉保留的中央视网膜动脉阻塞。
BMJ Case Rep. 2022 Feb 28;15(2):e246293. doi: 10.1136/bcr-2021-246293.
2
Retinal arterial occlusions in the young: systemic associations in Indian population.年轻患者视网膜动脉阻塞：印度人群中的系统性关联。
Indian J Ophthalmol. 2012 Mar-Apr;60(2):95-100. doi: 10.4103/0301-4738.94049.
3
Hemi-central retinal artery occlusion in young adults.中青年患者半侧中央视网膜动脉阻塞。
Indian J Ophthalmol. 2010 Sep-Oct;58(5):425-32. doi: 10.4103/0301-4738.67069.
4
Computerised cardiological case notes.计算机化心脏病病例记录。
Br Heart J. 1982 Aug;48(2):169-76. doi: 10.1136/hrt.48.2.169.
5
Amaurosis fugax under the age of 40 years.40岁以下的一过性黑矇
J Neurol Neurosurg Psychiatry. 1987 Jan;50(1):81-4. doi: 10.1136/jnnp.50.1.81.
6
Bilateral retinal artery occlusion due to mitral valve prolapse.二尖瓣脱垂导致的双侧视网膜动脉阻塞。
Br J Ophthalmol. 1991 Jul;75(7):436-7. doi: 10.1136/bjo.75.7.436.
7
Calcified left atrial myxoma with floppy mitral valve.钙化性左房黏液瘤伴二尖瓣脱垂
Br Heart J. 1979 Nov;42(5):608-10. doi: 10.1136/hrt.42.5.608.
本文引用的文献
1
Observations on the retinal blood-vessels in monocular blindness.单眼失明患者视网膜血管的观察
Lancet. 1961 Dec 30;2(7218):1422-8. doi: 10.1016/s0140-6736(61)91247-8.
2
FETAL ATHEROMATOUS CEREBRAL EMBOLISM ASSOCIATED WITH BRIGHT PLAQUES IN THE RETINAL ARTERIOLES. REPORT OF A CASE.与视网膜小动脉明亮斑块相关的胎儿动脉粥样硬化性脑栓塞。病例报告。
Neurology. 1963 Aug;13:708-13. doi: 10.1212/wnl.13.8.708.
3
Role of hypotension in the genesis of transient focal cerebral ischaemic attacks.低血压在短暂性局灶性脑缺血发作成因中的作用。
Br Med J. 1963 Aug 10;2(5353):344-8. doi: 10.1136/bmj.2.5353.344.
4
Observations of the fundus oculi in transient monocular blindness.一过性单眼盲的眼底观察
Neurology. 1959 May;9(5):333-47. doi: 10.1212/wnl.9.5.333.
5
Echocardiographic abnormalities in the mitral valve prolapse syndrome.
Circulation. 1974 Mar;49(3):428-33. doi: 10.1161/01.cir.49.3.428.
6
Rarity of transient focal cerebral ischemia in cardiac dysrhythmia.
JAMA. 1973 Feb 19;223(8):893-5.
7
Transient visual obscurations in chronic rheumatic heart-disease.慢性风湿性心脏病中的短暂性视力模糊
Lancet. 1970 Aug 15;2(7668):323-6. doi: 10.1016/s0140-6736(70)92869-2.
8
Cerebral ischemic events associated with prolapsing mitral valve.与二尖瓣脱垂相关的脑缺血事件。
Trans Am Neurol Assoc. 1975;100:84-8.
9
The problem of nonejection systolic clicks and associated mitral systolic murmurs: emphasis on the billowing mitral leaflet syndrome.
Am Heart J. 1975 Nov;90(5):636-55. doi: 10.1016/0002-8703(75)90229-x.
10
Arrhythmias in patients with mitral valve prolapse.
Circulation. 1975 Jul;52(1):73-81. doi: 10.1161/01.cir.52.1.73.
Zotero 插件