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[Mitral prolapse and sudden death. A case report]
C Seunes1, P Paquet1, F Janvier1
1Service de cardiologie, centre hospitalier d'Arras, groupe hospitalier Artois-Ternois, 3, boulevard Besnier, CS 90006, 62022 Arras cedex, France.
Annales De Cardiologie Et D'Angeiologie
|October 11, 2020
Summary
Mitral valve prolapse (MVP) and sudden cardiac death risk is debated. Mitral annular disjunction and myocardial fibrosis are key indicators of arrhythmia risk in MVP patients.
Area of Science:
- Cardiology
- Cardiac Imaging
- Electrophysiology
Background:
- The link between mitral valve prolapse (MVP) and sudden cardiac death (SCD) is controversial due to MVP's high prevalence and SCD's low incidence.
- This case highlights the importance of advanced imaging in assessing SCD risk in MVP patients.
Observation:
- A 54-year-old woman experienced sudden cardiac death, revealing bi-prolapse with low-grade leakage.
- Echocardiography and cardiac MRI identified mitral annular disjunction and inferolateral myocardial fibrosis.
Findings:
- Mitral annular disjunction and myocardial fibrosis are significant markers for ventricular arrhythmias in MVP.
- These findings are crucial for prognostic evaluation, potentially outweighing conventional clinical parameters.
Implications:
- Advanced imaging techniques are vital for identifying high-risk MVP patients.
- Systematic assessment for mitral annular disjunction and fibrosis is recommended for accurate risk stratification.
- Therapeutic strategies require careful consideration, especially for primary prevention, necessitating Heart Team consultation.
Keywords:
Arrêt cardiaque préhospitalierDisjonction annulaire mitraleFibrillation ventriculaireFibrose myocardiqueMitral annular disjunctionMitral valve prolapseMort subiteMyocardial fibrosisOut-of-hospital cardiac arrestProlapsus valvulaire mitralSudden deathVentricular fibrillationMore Related Videos
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