Evidence map›Paper›PMID 30486705›Full record

SynthesisJournal of the American Heart Association2018

Mitral Valve Prolapse and Sudden Cardiac Death: A Systematic Review.

Hui-Chen Han, Francis J Ha, Andrew W Teh, Paul Calafiore, Elizabeth F Jones, Jennifer Johns, Anoop N Koshy, David O'Donnell, David L Hare, Omar Farouque and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
10.4field-weighted citation impact, top 1% 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 142 citations in OpenAlex.

  1. Mitral Valve Prolapse and Sudden Cardiac Death: A Systematic Review.Journal of the American Heart Association · 2018
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  4. TClinical research in cardiology : official journal of the German Cardiac Society · 2026
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Hui-Chen Han1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Francis J Ha1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Andrew W Teh1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Paul Calafiore1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Elizabeth F Jones1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Jennifer Johns1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Anoop N Koshy1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
David O'Donnell1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
David L Hare1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Omar Farouque1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
Han S Lim1 Department of Cardiology Austin Health University of Melbourne Melbourne Australia.
University of Melbourne · AUAustin Health · AUMonash University · AUNorthern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The relationship between mitral valve prolapse ( MVP ) and sudden cardiac death ( SCD ) remains controversial. In this systematic review, we evaluate the relationship between isolated MVP and SCD to better define a potential high-risk subtype. In addition, we determine whether premortem parameters could predict SCD in patients with MVP and the incidence of SCD in MVP . Methods and Results Electronic searches were conducted in PubMed and Embase for all English literature articles published between 1960 and 2018 regarding MVP and SCD or cardiac arrest. We also identified articles investigating predictors of ventricular arrhythmias or SCD and cohort studies reporting SCD outcomes in MVP . From 2180 citations, there were 79 articles describing 161 cases of MVP with SCD or cardiac arrest. The median age was 30 years and 69% of cases were female. Cardiac arrest occurred during situations of stress in 47% and was caused by ventricular fibrillation in 81%. Premature ventricular complexes on Holter monitoring (92%) were common. Most cases had bileaflet involvement (70%) with redundancy (99%) and nonsevere mitral regurgitation (83%). From 22 articles describing predictors for ventricular arrhythmias or SCD in MVP , leaflet redundancy was the only independent predictor of SCD . The incidence of SCD with MVP was estimated at 217 events per 100 000 person-years. Conclusions Isolated MVP and SCD predominantly affects young females with redundant bileaflet prolapse, with cardiac arrest usually occurring as a result of ventricular arrhythmias. To better understand the complex relationship between MVP and SCD , standardized reporting of clinical, electrophysiological, and cardiac imaging parameters with longitudinal follow-up is required.

Indexed as

Death, Sudden, CardiacHumansMitral Valve ProlapseRisk Factorsmitral valvesudden cardiac deathventricular fibrillationventricular tachycardia

Identifiers

PMID30486705
PMCPMC6405538
OpenAlexW2902167867

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.