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通过143例MVPS分析,其临床特征是:(1)女性好发,中青年多见:(2)主要症状与体征:心悸61.5％、胸痛45.5％、气促35.7％、眩晕11.2％,收缩晚期杂音73.4％,全收缩期杂音14.0％、收缩期喀喇音17.5％;(3) ECG异常51.8％,15.4％Ⅱ、Ⅲ、avF有ST—T改变、37.1％有早搏及快速性心律失常、26.6％BBB和A—VB;(4)并发感染性心内膜炎2例、发作性脑缺血昏厥2例、猝死1例;(5)死亡6例(4.2％),3例死于MOF、2例死于心衰、1例心源性猝死,此6例均并严重器质性心脏病,说明继发性MVP预后差。
Through the analysis of 143 cases of MVPS, its clinical features are: (1) women are more common in young and middle-aged: (2) the main symptoms and signs: palpitations 61.5%, chest pain 45.5%, shortness of breath 35.7%, dizziness 11.2% Systolic murmur was 73.4%, systolic murmur was 14.0%, systolic murmur was 17.5%; (3) ECG abnormalities were 51.8%, 15.4% Ⅱ, Ⅲ, avF had ST-T changes, 37.1% had premature beat and tachyarrhythmia, 26.6% BBB and A-VB; (4) 2 cases of concurrent infective endocarditis, 2 cases of paroxysmal cerebral ischemic syncope and 1 case of sudden death; (5) 6 deaths (4.2%) and 3 died of MOF , 2 died of heart failure, 1 case of sudden cardiac death, all 6 cases of severe organic heart disease, indicating that secondary MVP poor prognosis.