MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP?
Mitral valve prolapse (MVP) is a congenital heart disease, fairly widespread in the population (2-8%). It rarely has complications, but they are serious and include sudden cardiac death (SCD), risk of which rises twofold from 0.2-0.4% cases by MVP. Most deaths are observed among young healthy women....
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SINAPS LLC
2016-06-01
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Online Access: | https://www.medarhive.ru/jour/article/view/529 |
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author | O. E. Shirobokikh N. A. Bylova |
author_facet | O. E. Shirobokikh N. A. Bylova |
author_sort | O. E. Shirobokikh |
collection | DOAJ |
description | Mitral valve prolapse (MVP) is a congenital heart disease, fairly widespread in the population (2-8%). It rarely has complications, but they are serious and include sudden cardiac death (SCD), risk of which rises twofold from 0.2-0.4% cases by MVP. Most deaths are observed among young healthy women. This work is a review of literature dedicated to connection between MVP and SCD designed to explore possible predicts of SCD within patients suffering from MVP and to determine the subset of patients. A conclusion has been made that the connection between MVP and SCD is realized through life-threatening ventricular arrhythmias (VT, VF). The most common site of arrhythmias origin is the inferobasal left ventricular wall. A high-risk subset of patients is determined as young adult women with a midsystolic click at auscultation, bileaflet involvement of the mitral valve, T-wave abnormalities on inferior leads (II, III, aVF) and frequent complex ventricular ectopic activity. Such patients require more intensive disease management of ventricular arrhythmias including consideration of surgical treatment. |
format | Article |
id | doaj-art-9c8fe43dd8e74b55bf64d96e4d06a620 |
institution | Matheson Library |
issn | 2226-6704 2411-6564 |
language | Russian |
publishDate | 2016-06-01 |
publisher | SINAPS LLC |
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series | Архивъ внутренней медицины |
spelling | doaj-art-9c8fe43dd8e74b55bf64d96e4d06a6202025-08-04T14:09:45ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642016-06-0163252910.20514/2226-6704-2016-6-3-25-29518MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP?O. E. Shirobokikh0N. A. Bylova1Pirogov Russian NationalResearch Medical UniversityPirogov Russian NationalResearch Medical UniversityMitral valve prolapse (MVP) is a congenital heart disease, fairly widespread in the population (2-8%). It rarely has complications, but they are serious and include sudden cardiac death (SCD), risk of which rises twofold from 0.2-0.4% cases by MVP. Most deaths are observed among young healthy women. This work is a review of literature dedicated to connection between MVP and SCD designed to explore possible predicts of SCD within patients suffering from MVP and to determine the subset of patients. A conclusion has been made that the connection between MVP and SCD is realized through life-threatening ventricular arrhythmias (VT, VF). The most common site of arrhythmias origin is the inferobasal left ventricular wall. A high-risk subset of patients is determined as young adult women with a midsystolic click at auscultation, bileaflet involvement of the mitral valve, T-wave abnormalities on inferior leads (II, III, aVF) and frequent complex ventricular ectopic activity. Such patients require more intensive disease management of ventricular arrhythmias including consideration of surgical treatment.https://www.medarhive.ru/jour/article/view/529mitral valve prolapse (mvp)sudden cardiac death (scd)life-threatening ventricular arrhythmias |
spellingShingle | O. E. Shirobokikh N. A. Bylova MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? Архивъ внутренней медицины mitral valve prolapse (mvp) sudden cardiac death (scd) life-threatening ventricular arrhythmias |
title | MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? |
title_full | MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? |
title_fullStr | MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? |
title_full_unstemmed | MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? |
title_short | MITRAL VALVE PROLAPSE AND SUDDEN CARDIAC DEATH: WHO IS IN THE RISK GROUP? |
title_sort | mitral valve prolapse and sudden cardiac death who is in the risk group |
topic | mitral valve prolapse (mvp) sudden cardiac death (scd) life-threatening ventricular arrhythmias |
url | https://www.medarhive.ru/jour/article/view/529 |
work_keys_str_mv | AT oeshirobokikh mitralvalveprolapseandsuddencardiacdeathwhoisintheriskgroup AT nabylova mitralvalveprolapseandsuddencardiacdeathwhoisintheriskgroup |