60例二尖瓣脱垂并心律失常的临床分析  

A clinical analysis of 60 cases of mitral valve prolapse with arrhythmia

作　　者：裘汉璋[1] 单光华[1] 徐宏贵[1] 

机构地区：[1]暨南大学医学院第一附属医院内科,广东广州510630

出　　处：《暨南大学学报（自然科学与医学版）》1999年第4期38-40,共3页Journal of Jinan University(Natural Science & Medicine Edition)

摘　　要：目的：研究二尖瓣脱垂（ Ｍ Ｖ Ｐ） 合并心律失常的临床特点。方法：对６０ 例 Ｍ Ｖ Ｐ 患者采用彩色多普勒超声显像仪检查确诊。２４ ｈ 动态心电图监测心律失常情况。结果：心律失常发生率８８４ ％ ，以室性早搏多见（６５ ％ ） ，其次室上性早搏（４０ ％ ） ，传导阻滞较少见（１１ ％ ） 。结论：大多数 Ｍ Ｖ Ｐ 合并心律失常不必治疗，多数预后较好。但如果症状明显，伴危险因素可给予β－ 阻滞剂。 Ｍ Ｖ Ｐ 并二尖瓣关闭不全或伴 Ｔ Ｉ Ａ 者可使用抗凝治疗。Aim:To explore the clinical characteristics of MVP patient with arrhythmia. Methods: Further study of MVP patient with 24 hour dynamic electrocardiogram shown that most of MVP patients were accomanied with arrthythmia. Results: Incidence of arrthythmia is about 88 4% in which ventricular premature systole consisted of 65%. Next was supraventricular premature systole with incidence of 40%. Cardiac conductance blockage was least common with incidence of 11%. Conclusion: The prognosis is optimistic in most MVP patient with arrhythmia and therapeutic procedures are not necesary. However, in patients with apparent arrhythmia syndromes or with high risk factors, β-receptor blockers therapy is necessarty. Anticoagulant therapy is needed for MVP patients accommpanied with mitral valve incompetence or with TIA.

关 键 词：二尖瓣脱垂 心律失常 动态心电图 临床分析 

分 类 号：R542.51[医药卫生—心血管疾病] R541.7[医药卫生—内科学]