伴心环状断裂和伴心门脱落将成年人的数据推断到青少年队列?
Mitchell I Cohen1, Melany B Atkins, Christopher P Jordan
1Chief, Pediatric Cardiology, Director of Arrhythmia Services, Inova Children's Cardiology, Inova L.J. Murphy Children's Hospital, Professor of Pediatrics, UVA School of Medicine, 8260 Willow Oaks Corporate Drive, Suite 400 Fairfax, VA.
Current opinion in cardiology
|April 12, 2024
概括
中心脱落 (MVP) 和中心环形断裂 (MAD) 可能构成心室失律的风险. 某些患有MVP的成年人,特别是患有纤维化或先前事件的成年人,可能面临突然心脏死亡的风险.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 密特拉脱落 (MVP) 通常是良性的,但有一部分患者面临风险.
- 中心环状断裂 (MAD) 可以与MVP并存,影响心律失常风险.
研究的目的:
- 更新对中枢脱落 (MVP) 和中枢环状断裂 (MAD) 的知识.
- 为了识别风险较高的腹腔失常和心脏突然死亡的个体.
主要方法:
- 审查当前的文献和指导方针.
- 风险因素的分析,包括形态,纤维化和成像技术的进步.
- 考虑患者病史,例如之前的心律失常或昏迷.
主要成果:
- MVP患者心律不整的危险因素包括胆叶门,体变化,纤维化和MAD.
- 多式成像技术有助于识别纤维化和MAD.
- 指导方针表明,MVP患者有先前心律失常,功能障碍或昏迷的风险.
结论:
- MVP和MAD可以一起发生或独立发生.
- 虽然很少见,心律失常的MVP会带来心室动脉冲动和心脏突然死亡的风险.
- 需要进一步的多中心研究来澄清心律失常门疾病的自然史,特别是在儿科人群中.
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