72非风湿性二尖瓣返流疾病（72 non rheumatic mitral regurgitation disease）.doc

72非风湿性二尖瓣返流疾病（72 non rheumatic mitral regurgitation disease） The fourteenth section of non rheumatic mitral regurgitation disease Non rheumatic mitral regurgitation except rheumatic mitral valve disease, and its surrounding anatomical structures such as; left atrium, valve bad, chordae, papillary muscle and the left ventricular abnormalities caused by different degrees of mitral regurgitation. A lot of non rheumatic mitral regurgitation, the more common are: mitral valve prolapse, papillary muscle dysfunction or rupture of chordae tendineae, left atrial myxoma, valvular ring calcification, congenital malformation, valvular endocarditis. According to the degree of mitral regurgitation, rate of progress and existing time, can cause hemodynamic changes in different extent and clinical manifestations. Here are some of the more common non rheumatic mitral regurgitation disease. Mitral valve prolapse syndrome (Mitral Valve Prolapse Syndrome, Barlows Syndrome) Also known as Barlow syndrome syndrome, mitral valve clicks a murmur of mitral valve prolapse syndrome, refers to the mitral valve in left ventricular systolic left atrial prolapse, with or without mitral regurgitation, clinical on can appear a series of symptoms and signs. The etiology and pathological anatomy The disease is a clinical syndrome, according to etiology can be divided into primary and secondary two classes. Primary mitral valve prolapse etiology is not clear, some patients have a family history, may be autosomal dominant genetic disorder. The main pathological anatomy for myxoid degeneration of mitral valve tissue, with long and loose valve. Visible in Marfan syndrome. Secondary mitral valve prolapse in coronary heart disease, congenital heart disease (secundum atrial septal ischemia). The clinical diagnosis of the disease, the habit refers to the primary mitral valve prolapse. The mitral valve is too long in the left atrial systole into the left ventricle, the formation of the mitral valve prolapse ea