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Mechanistic insights of the left ventricle structure and fibrosis in the arrhythmogenic mitral valve prolapse

Mitral valve prolapse (MVP) is a common and benign condition. However, some anatomic forms have been recently associated with life-threatening ventricular arrhythmias and sudden cardiac death. Imaging MVP holds the promise of individualized MVP risk assessment. Noninvasive imaging techniques availab...

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Detalles Bibliográficos
Autores principales: Fernández-Friera, Leticia, Salguero, Rafael, Vannini, Luca, Argüelles, Ana Fidalgo, Arribas, Fernando, Solís, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Magdi Yacoub Heart Foundation 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857061/
https://www.ncbi.nlm.nih.gov/pubmed/29644231
http://dx.doi.org/10.21542/gcsp.2018.4
Descripción
Sumario:Mitral valve prolapse (MVP) is a common and benign condition. However, some anatomic forms have been recently associated with life-threatening ventricular arrhythmias and sudden cardiac death. Imaging MVP holds the promise of individualized MVP risk assessment. Noninvasive imaging techniques available today are playing an increasingly important role in the diagnosis, prognosis and monitoring of MVP. In this article, we will review the current evidence on arrhythmogenic MVP, with special focus on the utility of echocardiography and CMR for identifying benign and “malignant” forms of MVP. The clinical relevance of this manuscript lies in the value of imaging technology to improve MVP risk prediction, including those arrhythmic-MVP cases with a higher risk of sudden cardiac death.