cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLCcardiovascular-2183Research ArticleМНЕНИЕ ПО ПРОБЛЕМЕOPINION ON A PROBLEMПролапс митрального клапана: “много шума из ничего” или реальная и нерешенная проблема?Mitral valve prolapse: «Much Ado About Nothing», or a real unsolved problem?ЗемцовскийЭ. В.ZemtsovskyE. V.

1 заведующий лабораторией соединительно-тканных дисплазий, 2 заведующий кафедрой пропедевтики внутренних болезней

zemtsovsky@mail.ruМалевЭ. Г.MalevE. G.

заведующий лабораторией ультразвуковых методов исследования, ведущий научный сотрудник лаборатории соединительно-тканных дисплазий

РееваС. В.ReevaS. V.

1 старший научный сотрудник лаборатории соединительно-тканных дисплазий, 2 доцент кафедры пропедевтики внутренних болезней

Федеральный центр сердца, крови и эндокринологии им. В.А. Алмазова; Cанкт-Петербургская государственная педиатрическая медицинская академия. Санкт-ПетербургV.A. Almazov Federal Centre of Heart, Blood, and Endocrinology; St. Petersburg State Pediatrics Medical Academy. St. PetersburgФедеральный центр сердца, крови и эндокринологии им. В.А. АлмазоваV.A. Almazov Federal Centre of Heart, Blood, and Endocrinology201001011970986974Copyright © Земцовский Э.В., Малев Э.Г., Реева С.В., 19701970Земцовский Э.В., Малев Э.Г., Реева С.В.Zemtsovsky E.V., Malev E.G., Reeva S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/2183

Представлено современное состояние проблемы пролапса митрального клапана (ПМК). Рассмотрены спорные и нерешенные вопросы терминологии для ПМК на основе разработанных и согласованных рекомендаций по проблеме, характеристики различных вариантов ПМК. Приводятся современные эхокардиографические (ЭхоКГ) критерии диагностики ПМК, оценивается распространенность ПМК при использовании этих диагностических критериев, сравниваются результаты Фремингемского исследования и собственные данные. Оценивается взаимосвязь вегетативной дисфункции и ПМК. Сравниваются различные подходы к стратификации риска на основе ЭхоКГ и клинических данных. Описываются современные методы лечения и тактика ведения лиц с ПМК.

The paper discusses the modern state of the mitral valve prolapse (MVP) problem. Controversial and unresolved issues on terminology, diagnostics, and tactics for different MVP variants are considered on the basis of the “Heritable disorders of connective tissue” recommendations (2009) by Expert Committee, the Society of Cardiology of the Russian Federation (VNOK). The modern diagnostic criteria of MVP are discussed, as well as echocardiography-estimated MVP prevalence while using those diagnostic criteria, and the comparison of Framingham Heart Study results to the authors’ own data. The interrelation between autonomic dysfunction and MVP is assessed, and different approaches to the stratification of MVP complication risk are compared, based on the echocardiography results and clinical data. The modern methods of MVP treatment and management strategy are also described.

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The authors declare that there are no conflicts of interest present.