VENTRICULAR EXTRA-STIMULATION IN MITRAL-VALVE PROLAPSE SYNDROME - EVIDENCE FOR VENTRICULAR REENTRY

被引:24
作者
ENGEL, TR
MEISTER, SG
FRANKL, WS
机构
关键词
D O I
10.1016/S0022-0736(78)80103-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fourteen patients with mitral valve prolapse and essentially normal coronary arteries were evaluated for ventricular arrhythmias, utilizing programmed ventricular extrastimulation. Three were symptomatic with ventricular tachyarrhythmias. Application of appropriately timed ventricular extrasystoles initiated the tachyarrhythmias in these three patients. The remaining eleven mitral prolapse patients were apparently free of tachycardias. Repetitive ectopic beats were not induced by extrastimulation in these eleven patients. The initiation of ventricular tachyarrhythmias by extrastimulation suggests a reentrant mechanism for the ventricular ectopy of mitral valve prolapse. © 1978.
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页码:137 / 142
页数:6
相关论文
共 29 条
  • [1] DEMONSTRATION OF REENTRY WITHIN HIS-PURKINJE SYSTEM IN MAN
    AKHTAR, M
    DAMATO, AN
    BATSFORD, WP
    RUSKIN, JN
    OGUNKELU, JB
    VARGAS, G
    [J]. CIRCULATION, 1974, 50 (06) : 1150 - 1162
  • [2] CHARACTERISTICS AND COEXISTENCE OF 2 FORMS OF VENTRICULAR ECHO PHENOMENA
    AKHTAR, M
    DAMATO, AN
    RUSKIN, JN
    OGUNKELU, JB
    REDDY, CP
    LEEDS, CJ
    [J]. AMERICAN HEART JOURNAL, 1976, 92 (02) : 174 - 182
  • [3] ANEURYSMAL PROTRUSION OF POSTERIOR LEAFLET OF MITRAL VALVE - AN AUSCULTATORY-ELECTROCARDIOGRAPHIC SYNDROME
    BARLOW, JB
    BOSMAN, CK
    [J]. AMERICAN HEART JOURNAL, 1966, 71 (02) : 166 - &
  • [4] INITIATION OF SUSTAINED RHYTHMIC ACTIVITY BY SINGLE PROPAGATED ACTION POTENTIALS IN CANINE CARDIAC PURKINJE-FIBERS EXPOSED TO SODIUM-FREE SOLUTION OR TO OUABAIN
    CRANEFIELD, PF
    ARONSON, RS
    [J]. CIRCULATION RESEARCH, 1974, 34 (04) : 477 - 481
  • [5] CRANEFIELD PF, 1974, CIRCULATION, V50, P97
  • [6] DEMARIA, 1976, ANN INTERN MED, V84, P656
  • [7] MITRAL-VALVE PROLAPSE
    DEVEREUX, RB
    PERLOFF, JK
    REICHEK, N
    JOSEPHSON, ME
    [J]. CIRCULATION, 1976, 54 (01) : 3 - 14
  • [8] ENGEL T, 1976, 6TH AS PAC C CARD, V79
  • [9] ENGEL TR, 1975, CIRCULATION, V52, P178
  • [10] ENGEL TR, ANN INT MED