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Sniezek-Maciejewska M, Piwowarska W, Mroczek-Czernecka D, et al. Zaburzenia rytmu serca u chorych z zespołem wypadania płatka zastawki mitralnej a stan napiecia układu współczulnego. [Arrhythmia in patients with mitral valve prolapse syndrome and the status of the sympathetic nervous system]. Pol Tyg Lek. 1990;45(10):203-5
Sniezek-Maciejewska, M., Piwowarska, W., Mroczek-Czernecka, D., Mazurek, S., Kmita, A., Jaśkiewicz, J., & Dubiel, J. P. (1990). Zaburzenia rytmu serca u chorych z zespołem wypadania płatka zastawki mitralnej a stan napiecia układu współczulnego. [Arrhythmia in patients with mitral valve prolapse syndrome and the status of the sympathetic nervous system]. Polski tygodnik lekarski (Warsaw, Poland : 1960), 45(10), 203-5.
Sniezek-Maciejewska, M, et al. "Zaburzenia rytmu serca u chorych z zespołem wypadania płatka zastawki mitralnej a stan napiecia układu współczulnego." [Arrhythmia in patients with mitral valve prolapse syndrome and the status of the sympathetic nervous system]. Polski tygodnik lekarski (Warsaw, Poland : 1960) vol. 45,10 (1990): 203-5.
Sniezek-Maciejewska M, Piwowarska W, Mroczek-Czernecka D, Mazurek S, Kmita A, Jaśkiewicz J, Dubiel JP. Zaburzenia rytmu serca u chorych z zespołem wypadania płatka zastawki mitralnej a stan napiecia układu współczulnego. [Arrhythmia in patients with mitral valve prolapse syndrome and the status of the sympathetic nervous system]. Pol Tyg Lek. 1990 Mar 5-12;45(10):203-5. Polish. PMID: 1699213.
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Pol Tyg Lek. 1990 Mar 5-12;45(10):203-5.

[Arrhythmia in patients with mitral valve prolapse syndrome and the status of the sympathetic nervous system].

Polski tygodnik lekarski (Warsaw, Poland : 1960)

[Article in Polish]
M Sniezek-Maciejewska, W Piwowarska, D Mroczek-Czernecka, S Mazurek, A Kmita, J Jaśkiewicz, J P Dubiel

Affiliations

  1. I Kliniki Kardiologii, Instytutu Pediatrii AM w Krakowie.

PMID: 1699213

Abstract

The study aimed at evaluating a possible relationship between the adrenergic system tone determined with the excretion of catecholamines with the urine and an incidence of the ventricular arrhythmias in patients with the mitral valve prolapse. The study included 20 patients (13 women and 7 men aged between 20 and 50 years; mean = 31.6 years) with the mitral valve prolapse syndrome diagnosed with the aid of the patients' history, physical examinations and echocardiography. Echocardiograms have shown anterior mitral leaflet prolapse in 7 patients, posterior mitral leaflet prolapse in 8 patients, and both mitral leaflets prolapse in the remaining 5 patients. Daily excretion of adrenaline and noradrenaline was measured with Van Euler and Lishajko's fluorimetric technique. Cardiac arrhythmias were determined with a 24-hour ECG monitoring and classified according to Lown. Premature ventricular contractions of class I were seen in 1 patient, of class II in 5, class III in 1, class IV in 2, and class V in 3 patients. Holter monitoring technique did not show the arrhythmias in 8 patients. Daily adrenaline and noradrenaline excretion with the urine was within the normal values (3.2-30.8 ug and 0.2-16.2 ug, respectively) in all examined patients. Daily urine noradrenaline was higher in patients with serious ventricular arrhythmias (Lown's class V) than mean values in the whole examined group.

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