Пролапс митрального клапана: “много шума из ничего” или реальная и нерешенная проблема?

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.

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