Document Detail

Mitral valve prolapse and transitory cerebral ischemia. Report on 8 cases.
MedLine Citation:
PMID:  3831269     Owner:  NLM     Status:  MEDLINE    
Non-complicated mitral valve prolapse (MVP) may cause transitory ischemic attacks (TIA) of a probable micro-embolic nature, especially in young people. This study presents 119 cases of TIA, 41 occurring in patients under 45 years of age. All of the 119 patients were given a brain CT scan and associated risk factors such as dislipidemia, diabetes, arterial hypertension, polycythemia were corrected. In addition, 115 patients underwent an angiography. The 41 patients under 45 were given an echocardiogram. The 8 patients who were found to have mitral valve prolapse were submitted to a 24-hour continuous monitoring of the ECG (Holter test) and only 4 patients were given an angiography. On the basis of the results obtained the Authors propose: (1) to use CT scan and electrocardiograms to study youthful patients who have had one or more events of TIA, (2) not to give them an angiography if they suffer from MVP, (3) to conduct the Holter test on these patients and, (4) to establish a therapy using blood-platelet anti-aggregants. The use of anti-coagulants is debatable, even in cases with recurring events.
F Rainoldi; M Soldati; A Venco; G L Brambilla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  29     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:    1985 Jul-Sep
Date Detail:
Created Date:  1986-05-02     Completed Date:  1986-05-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  249-53     Citation Subset:  IM    
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MeSH Terms
Age Factors
Ischemic Attack, Transient / etiology*,  radiography
Middle Aged
Mitral Valve Prolapse / complications*,  diagnosis
Tomography, X-Ray Computed

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