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人们很早就认识到收缩期喀喇音及收缩期杂音与二尖瓣叶中的一叶或二叶脱垂有关,且已观察到心律失常是其常见表现之一.本文目的在于阐述二尖瓣脱垂(MVP)综合征中心律失常的流行病学、心律失常的种类及心律失常观察方法、预后和猝死的关系、MVP中心律失常的处理.MVP中心律失常的流行病学MVP心律失常的流行病学研究主要基于24h动态心电图,从大量Holter研究资料显示,MVP病人有较高的房性、室性心律失常发生率.房性早博发生率为7.5%~63%,而室性搏早发生率范围较窄为58%~87%,对于室速的发生率还存在争论,房性或室性心律失常在普通人群中也有较高发生率.在Framingham研究中,24h动态心电图
It has long been recognized that systolic clicks and systolic murmur are associated with prolapse of one or two lobes of mitral leaflets and arrhythmia has been observed as one of the common manifestations of this phenomenon.The purpose of this paper is to elucidate the effects of mitral Epidemiology of arrhythmias in valvular prolapse (MVP) syndromes, types of arrhythmias and observation of arrhythmia, prognosis and sudden death, treatment of arrhythmias in MVP, arrhythmia of MVP, arrhythmia of MVP Of epidemiological studies are mainly based on 24h Holter, Holter study from a large number of data show that patients with MVP have a higher incidence of atrial and ventricular arrhythmia. Atrial premature beats Bo rate was 7.5% to 63%, while ventricular The prevalence of stroke is relatively narrow range of 58% to 87%, there is still controversy for the incidence of ventricular tachycardia, atrial or ventricular arrhythmias in the general population also have a higher incidence in the Framingham study, 24h Holter