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Arrhythmic Mitral Valve Prolapse: Risk Assessment and Management
Wael Alqarawi1, Ian G Burwash2, Andrew D Krahn3
1Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Division of Cardiology, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Ontario, Canada.
Arrhythmic mitral valve prolapse (AMVP) is linked to sudden cardiac death (SCD), but its role in unexplained cardiac arrest needs clarification. This review proposes screening and management strategies for AMVP patients at risk of SCD.
Area of Science:
- Cardiology
- Electrophysiology
- Sudden Cardiac Death Research
Background:
- Arrhythmic mitral valve prolapse (AMVP) is increasingly recognized as a potential cause of unexplained cardiac arrest.
- Existing evidence links AMVP to sudden cardiac death (SCD), yet risk stratification and management remain challenging for clinicians.
- Uncertainty exists regarding whether MVP is the primary cause or an incidental finding in patients with unexplained cardiac arrest.
Conclusions:
- Further research is needed to refine risk stratification and management strategies for AMVP.
- Clinical algorithms are proposed to aid in the diagnosis and treatment of AMVP and associated SCD risk.
- Clarifying the role of MVP in unexplained cardiac arrest is crucial for appropriate patient management.
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