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An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
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[Arrhythmias in patients with mitral valve prolapse]

I Stoian1, C Ginghină, E Apetrei

  • 1Clinica de Cardiologie, Spitalul Clinic Fundeni.

Revista De Medicina Interna, Neurologe, Psihiatrie, Neurochirurgie, Dermato-Venerologie. Medicina Interna
|January 1, 1990
PubMed

Insights

Arrhythmias are uncommon in patients with mitral valve prolapse (MVP), but their occurrence is linked to mitral insufficiency. Most ventricular arrhythmias are benign, though periodic monitoring is crucial for high-risk cases.

Area of Science:

  • Cardiology
  • Cardiac Electrophysiology
  • Valvular Heart Disease

Context:

  • Prolapse of the mitral valve (PMV) is a common cardiac condition.
  • Arrhythmias can be a complication of PMV, impacting patient prognosis.
  • Understanding the types and prevalence of arrhythmias in PMV is essential for clinical management.

Purpose:

  • To investigate the prevalence and types of arrhythmias in patients with PMV.
  • To identify factors associated with arrhythmia development in PMV.
  • To evaluate the therapeutic approaches for arrhythmias in this patient group.

Summary:

  • This study examined 126 patients with PMV, finding that 48% experienced arrhythmias, often correlated with mitral insufficiency.
  • Ventricular arrhythmias, predominantly benign ventricular extrasystoles, were observed in 18 patients.
  • Malignant ventricular arrhythmias like paroxysmal tachycardia and fibrillation were rare.

Impact:

  • The findings suggest a low incidence of significant arrhythmias in PMV patients.
  • Mitral insufficiency is a key factor associated with increased arrhythmia risk.
  • Periodic monitoring is recommended to identify patients with potentially malignant ventricular arrhythmias.

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