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。
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