We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Mitral-valve prolapse syndrome and recurrent ventricular tachyarrhythmias: a malignant variant refractory to conventional drug therapy.
- Authors
Wei, Jeanne Y.; Bulkley, Bernadine H.; Schaeffer, Allen H.; Greene, H. Leon; Reid, Philip R.; Wei, J Y; Bulkley, B H; Schaeffer, A H; Greene, H L; Reid, P R
- Abstract
Of 60 patients referred for management of drug-refractory ventricular tachyarrhythmias, 10 (17%) had mitral-valve prolapse. These 10 patients ranged in age from 19 to 70 years (mean, 47 years); seven were women. All 10 had recurrent ventricular tachycardia, while four had a history of ventricular fibrillation. Nine patients were refractory to propranolol in combination with one or more of the standard antiarrhythmic agents. All showed improvement with aprindine therapy. The results show that refractory malignant ventricular prolapse syndrome; patients with mitral-valve prolapse account for a rather high percentage of those patients referred with recurrent drug-refractory ventricular tachyarrhythmias; in patients with unexplained ventricular arrhythmias, mitral-valve prolapse should be considered; and aprindine may be effective for ventricular tachyarrhythmias associated with mitral-valve prolapse.
- Subjects
VENTRICULAR tachycardia; MYOCARDIAL depressants; MITRAL valve diseases; THERAPEUTICS; ARRHYTHMIA diagnosis; HYDROCARBONS; PROPRANOLOL; ELECTROCARDIOGRAPHY; MITRAL valve insufficiency; SYNDROMES; TACHYCARDIA; DISEASE relapse; PROLAPSE of bodily organs; DISEASE complications
- Publication
Annals of Internal Medicine, 1978, Vol 89, Issue 1, p6
- ISSN
0003-4819
- Publication type
journal article
- DOI
10.7326/0003-4819-89-1-6