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Surviving cardiac arrest from mitral annular disjunction: A case report
Sadie Bennett1, Thanh Phan1, Ashish Patwala1
1Royal Stoke University Hospital, Stoke-on-Trent, UK.
A young man survived cardiac arrest due to ventricular fibrillation. Mitral annular disjunction, a previously unrecognized condition, was identified as the likely cause, highlighting its link to sudden cardiac death.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
Background:
- Sudden cardiac death (SCD) and ventricular fibrillation (VF) pose significant health challenges.
- Idiopathic VF is diagnosed when no underlying structural or electrical heart disease is identified.
Observation:
- A 38-year-old man experienced out-of-hospital cardiac arrest due to VF, with initial investigations revealing no significant cardiac abnormalities.
- Despite negative tests for common causes like Brugada syndrome and coronary artery disease, he was diagnosed with idiopathic VF and received an implantable cardioverter-defibrillator.
Findings:
- A subsequent echocardiogram identified mitral annular disjunction (MAD), a condition increasingly recognized for its association with life-threatening arrhythmias.
- MAD involves a separation between the mitral valve annulus and the left ventricular myocardium.
Implications:
- This case underscores the importance of considering MAD in patients presenting with unexplained ventricular fibrillation and sudden cardiac arrest.
- Increased awareness and diagnostic focus on MAD may improve risk stratification and management strategies for patients at risk of SCD.
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