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Comprehensive mitral valve prolapse assessment by cardiovascular MRI
F Musella1, A Azzu2, A S Antonopoulos3
1Department of Advanced Biomedical Sciences, University Federico II of Naples. Naples, Italy.
Clinical Radiology
|December 13, 2021
Summary
Cardiovascular magnetic resonance imaging (CMRI) enhances understanding and risk assessment of mitral valve prolapse (MVP). This review details CMRI
Area of Science:
- Cardiovascular Imaging
- Cardiac MRI
- Valvular Heart Disease
Background:
- Mitral valve prolapse (MVP) is a common yet incompletely understood valvular heart disorder.
- Advances in cardiovascular magnetic resonance imaging (CMRI) have improved MVP assessment.
- Understanding MVP pathophysiology is crucial for patient management and risk stratification.
Purpose of the Study:
- To review recent insights into mitral valve prolapse (MVP) pathophysiology.
- To highlight the emerging role of cardiovascular magnetic resonance imaging (CMRI) in MVP diagnosis and risk assessment.
- To provide a practical CMRI protocol for MVP assessment.
Main Methods:
- Review of recent scientific literature on mitral valve prolapse (MVP).
- Focus on cardiovascular magnetic resonance imaging (CMRI) techniques and findings.
- Discussion of emerging concepts like mitral annular disjunction (MAD) and myocardial fibrosis.
Main Results:
- CMRI offers detailed assessment of MVP, improving understanding of its pathophysiology.
- Emerging concepts include mitral annular disjunction (MAD) and the link between fibrosis, arrhythmia, and sudden death.
- CMRI is valuable for both diagnosis and risk stratification in MVP patients.
Conclusions:
- Cardiovascular magnetic resonance imaging (CMRI) is pivotal in advancing the understanding and management of mitral valve prolapse (MVP).
- The review proposes a comprehensive CMRI protocol for practical clinical application.
- CMRI aids in identifying patients at risk for adverse outcomes like arrhythmia and sudden death.
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