Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
We describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful sur...
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Format: | Article |
Language: | English |
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MDPI AG
2017-04-01
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Series: | Clinics and Practice |
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Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/946 |
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author | Matteo Augello Luca Lanzarini |
author_facet | Matteo Augello Luca Lanzarini |
author_sort | Matteo Augello |
collection | DOAJ |
description | We describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful surgical mitral valve rapair determined the disappearance not only of the echocardiographic but also the electrocardiographic abnormalities (in particular the inferolateral T waves inversion on basal electrocardiogram and the complex basal arrhythmic pattern). This case demonstrates that electrocardiographic abnormalities may disappear after the surgical correction of the mechanical stretch imposed on the inferior LV free wall by the prolapsing mitral valve leaflets. Electrocardiographic changes remain an important and easy marker to recognize for the identification of a high-risk subgroup of MVP patients. |
first_indexed | 2024-04-14T04:26:29Z |
format | Article |
id | doaj.art-913ac0c4ec00464fa1e694949af4576a |
institution | Directory Open Access Journal |
issn | 2039-7275 2039-7283 |
language | English |
last_indexed | 2024-04-14T04:26:29Z |
publishDate | 2017-04-01 |
publisher | MDPI AG |
record_format | Article |
series | Clinics and Practice |
spelling | doaj.art-913ac0c4ec00464fa1e694949af4576a2022-12-22T02:12:18ZengMDPI AGClinics and Practice2039-72752039-72832017-04-017210.4081/cp.2017.946384Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repairMatteo Augello0Luca Lanzarini1Department of Cardiology, IRCCS-Policlinico S. Matteo, PaviaDepartment of Cardiology, IRCCS-Policlinico S. Matteo, PaviaWe describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful surgical mitral valve rapair determined the disappearance not only of the echocardiographic but also the electrocardiographic abnormalities (in particular the inferolateral T waves inversion on basal electrocardiogram and the complex basal arrhythmic pattern). This case demonstrates that electrocardiographic abnormalities may disappear after the surgical correction of the mechanical stretch imposed on the inferior LV free wall by the prolapsing mitral valve leaflets. Electrocardiographic changes remain an important and easy marker to recognize for the identification of a high-risk subgroup of MVP patients.https://www.clinicsandpractice.org/index.php/cp/article/view/946Barlow diseasearrhythmiassurgical mitral valve repair. |
spellingShingle | Matteo Augello Luca Lanzarini Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair Clinics and Practice Barlow disease arrhythmias surgical mitral valve repair. |
title | Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair |
title_full | Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair |
title_fullStr | Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair |
title_full_unstemmed | Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair |
title_short | Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair |
title_sort | disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a barlow disease after surgical mitral valve repair |
topic | Barlow disease arrhythmias surgical mitral valve repair. |
url | https://www.clinicsandpractice.org/index.php/cp/article/view/946 |
work_keys_str_mv | AT matteoaugello disappearanceofelectrocardiographicabnormalitiesassociatedwiththearrhythmicpatternofabarlowdiseaseaftersurgicalmitralvalverepair AT lucalanzarini disappearanceofelectrocardiographicabnormalitiesassociatedwiththearrhythmicpatternofabarlowdiseaseaftersurgicalmitralvalverepair |