心室期外収縮を呈する僧帽輪離開:症例報告
Oumaima Taoussi1, Hajar Rabii2, Soukaina Scadi1
1Cardiology, Mohammed VI International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, MAR.
Cureus
|January 16, 2026
まとめ
心室期外収縮を引き起こす可能性のある心臓の異常である僧帽輪離開(MAD)。心臓MRIはMADの診断と突然死を防ぐための治療ガイドに不可欠です。
科学分野:
- 循環器内科; 心臓画像診断; 電気生理学
背景:
- 僧帽輪離開(MAD)は、見過ごされがちな構造的心疾患です。; MADは、心室期外収縮および突然死との関連がますます高まっています。
研究 の 目的:
- 僧帽輪離開に続発する心室頻拍の症例を報告すること。; MADおよび関連する不整脈基質の診断における心臓MRI(CMR)の役割を強調すること。
主な方法:
- 動悸および非持続性心室頻拍を呈した患者の症例報告。; 診断ワークアップには、12誘導心電図、冠動脈造影検査、および心臓MRI(CMR)が含まれました。
主要な成果:
- 冠動脈造影検査では、冠動脈に異常は認められませんでした。; CMRは僧帽輪離開(MAD)を確認し、不整脈基質である乳頭筋の限局性線維症を特定しました。; 左室収縮機能は保たれており、虚血や心筋炎の所見はありませんでした。
結論:
- 冠動脈に異常のない心室期外収縮患者では、MADを考慮する必要があります。; マルチモダリティイメージング、特にCMRは、MADの特定、リスク評価、および管理のガイドに不可欠です。; MADの早期認識と管理は、有害な心イベントのリスクを低減することができます。
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