Evidence map›Paper›PMID 25361552›Full record

Trial reportCirculation2015

Familial clustering of mitral valve prolapse in the community.

Francesca N Delling, Jian Rong, Martin G Larson, Birgitta Lehman, Ewa Osypiuk, Plamen Stantchev, Susan A Slaugenhaupt, Emelia J Benjamin, Robert A Levine, Ramachandran S Vasan

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 73 citations in OpenAlex.

  1. Article
  2. Review
  3. AClinical case reports · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Genetics and pathophysiology of mitral valve prolapse.Frontiers in cardiovascular medicine · 2023
    Review
  14. Article
  15. International journal of molecular sciences · 2022
    Article
  16. Article
  17. Review
  18. Global epidemiology of valvular heart disease.Nature reviews. Cardiology · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Francesca N DellingFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston. fdelling@bidmc.harvard.edu.
Jian RongFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Martin G LarsonFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Birgitta LehmanFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Ewa OsypiukFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Plamen StantchevFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Susan A SlaugenhauptFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Emelia J BenjaminFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Robert A LevineFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Ramachandran S VasanFrom Boston University and National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA (F.N.D., J.R., M.G.L., B.L., E.O., P.S., E.J.B., R.S.V.); Department of Medicine (Cardiovascular Division), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (F.N.D.); Section of Neurology (J.R.), Section of Cardiology (E.J.B., R.S.V.), and Preventive Medicine (E.J.B., R.S.V.) sections in the Department of Medicine, Boston University School of Medicine, Boston, MA; Section of Mathematics and Statistics, Boston University, Boston, MA (M.G.L.); and Center for Human Genetic Research (S.A.S.) and Cardiac Ultrasound Laboratory, Department of Medicine (R.A.L.), Massachusetts General Hospital, Harvard Medical School, Boston.
Boston University · USBeth Israel Deaconess Medical Center · USHarvard University · US

Funding

Ventricular Vascular Coupling: Correlates and PrognosisR01HL080124 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2005 to 2009
$3.4M
Improving Mitral Compensation in Ischemic RegurgitationR01HL109506 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI AIKAWA, ELENA, BISCHOFF, JOYCE E. · 2012 to 2015
$3.3M
Aortic Dysfunction, Pulsatile Stress and Target Organ Damage in FraminghamR01HL107385 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, GARY FRANK, RAMACHANDRAN, VASAN S · 2011 to 2014
$2.6M
Genetic Determinants and Progression of Mitral Valve ProlapseK23HL116652 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DELLING, FRANCESCA N · 2014 to 2018
$699k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS K23 HL116652NHLBI NIH HHS K23HL116652NHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01-HC-25195NHLBI NIH HHS R01HL0107385NHLBI NIH HHS R01HL080124NHLBI NIH HHS R01 HL107385NHLBI NIH HHS R01 HL109506
6 · The paper itself

Abstract

backgroundKnowledge of mitral valve prolapse (MVP) inheritance is based on pedigree observation and M-mode echocardiography. The extent of familial clustering of MVP among unselected individuals in the community using current, more specific echocardiographic criteria is unknown. In addition, the importance of nondiagnostic MVP morphologies (NDMs; first described in large pedigrees) has not been investigated in the general population. We hypothesized that parental MVP and NDMs increase the risk of offspring MVP. METHODS AND

resultsStudy participants were 3679 Generation 3 individuals with available parental data in the Offspring or the New Offspring Spouse cohorts. MVP and NDMs were distinguished by leaflet displacement >2 versus ≤2 mm beyond the mitral annulus, respectively. We compared MVP prevalence in Generation 3 participants with at least 1 parent with MVP (n=186) with that in individuals without parental MVP (n=3493). Among 3679 participants (53% women; mean age, 40±9 years), 49 (1%) had MVP. Parental MVP was associated with a higher prevalence of MVP in Generation 3 participants (10 of 186, 5.4%) compared with no parental MVP (39 of 3493, 1.1%; adjusted odds ratio, 4.51; 95% confidence interval, 2.13-9.54; P<0.0001). When parental NDMs were examined alone, the prevalence of Generation 3 MVP remained higher (12 of 484, 2.5%) compared with those without parental MVP or NDMs (27 of 3009, 0.9%; adjusted odds ratio, 2.52; 95% confidence interval, 1.25-5.10; P=0.01).

conclusionsParental MVP and NDMs are associated with increased prevalence of offspring MVP, highlighting the genetic substrate of MVP and the potential clinical significance of NDMs in the community.

Indexed as

FamilyResidence CharacteristicsAdultCluster AnalysisCohort StudiesFemaleHumansMaleMiddle AgedMitral Valve Prolapseechocardiographyepidemiologygeneticsmitral valve prolapse

Identifiers

PMID25361552
PMCPMC4301989
OpenAlexW2008645223

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.