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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
3.9K
Arrhythmic mitral valve prolapse: a practical approach for asymptomatic patients
Alessandro Malagoli1, Alessandro Albini2, Giovanni Benfari3
1Division of Cardiology, Nephro-Cardiovascular Department, Baggiovara Hospital, University of Modena and Reggio Emilia, 1355 Pietro Giardini Street, Modena 41126, Italy.
European Heart Journal. Cardiovascular Imaging
|December 7, 2023
Summary
Mitral valve prolapse (MVP) can be life-threatening. This review identifies arrhythmic risk features and proposes an imaging algorithm for early detection in asymptomatic patients.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiac Electrophysiology
Background:
- Mitral valve prolapse (MVP) is often considered benign, but a subset has life-threatening arrhythmias.
- Sudden cardiac death can be the initial presentation, highlighting the need for early risk identification.
- Recent consensus statements offer risk stratification, but early detection in asymptomatic patients remains challenging.
Conclusions:
- Early identification of arrhythmic MVP is crucial due to the risk of sudden cardiac death.
- An integrated imaging approach, starting with echocardiography, can aid in risk stratification.
- This strategy aims to facilitate timely referral for advanced imaging and appropriate management.

