Mitral valve prolapse: An underestimated cause of sudden cardiac death-a current review of the literature


Journal Article (Review)

© Journal of Thoracic Disease. Mitral valve prolapse (MVP) is a common valve abnormality in general population. Despite the general belief of a benign disorder, several articles since the 1980s report sudden cardiac death (SCD) in MVP patients, with a substantial percentage of asymptomatic young individuals. The problem is to detect those patients at increased risk and implement methods that are suitable to prevent cardiac arrest. This review investigates the correlation between MVP and SCD, the understanding of the pathophysiology, the strategies for detecting those at risk and treatment options. A complete literature survey was performed using PubMed database search to gather available information regarding MVP and SCD. A total of 33 studies met selection criteria for inclusion in the review. MVP is an underrated cause of arrhythmic SCD. The subset of patients with malignant MVP who may be at greater risk for SCD is characterized by young women with bileaflet MVP, biphasic or inverted T waves in the inferior leads, and frequent complex ventricular ectopic activity with documented ventricular bigeminy or ventricular tachycardia (VT) and premature ventricular contractions (PVCs) configurations of outflow tract alternating with fascicular origin or papillary muscle. MVP is a common condition in the general population and is often encountered in asymptomatic individuals. The existing literature continues to generate significant controversy regarding the association of MVP with ventricular arrhythmias and SCD. Early echocardiography and cardiac magnetic resonance (CMR) are essential, as is a greater understanding of the potential electrophysiological processes of primary arrhythmogenesis and the evaluation of the genetic substrate.

Full Text

Duke Authors

Cited Authors

  • Spartalis, M; Tzatzaki, E; Spartalis, E; Athanasiou, A; Moris, D; Damaskos, C; Garmpis, N; Voudris, V

Published Date

  • December 1, 2017

Published In

Volume / Issue

  • 9 / 12

Start / End Page

  • 5390 - 5398

Electronic International Standard Serial Number (EISSN)

  • 2077-6624

International Standard Serial Number (ISSN)

  • 2072-1439

Digital Object Identifier (DOI)

  • 10.21037/jtd.2017.11.14

Citation Source

  • Scopus