Evidence map›Paper›PMID 39076236›Full record

ReviewReviews in cardiovascular medicine2022

Mitral Annular Disjunction: Pathophysiology, Pro-Arrhythmic Profile and Repair Pearls.

Dimos Karangelis, Konstantinos S Mylonas, Argyris Krommydas, Spiros Loggos, Vasiliki Androutsopoulou, Dimitrios Stakos, Dimitrios Mikroulis, Aphrodite Tzifa, Fotios Mitropoulos

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Mitral Valve Surgery with and Without Mitral Annular Disjunction: A Meta-Analysis.Journal of cardiovascular development and disease · 2025
    Review
  4. Review
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

9 authors.

Dimos KarangelisDepartment of Cardiac Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, 68100 Alexandroupoli, Greece.
Konstantinos S MylonasThird Department of Cardiac Surgery, Onassis Cardiac Surgery Center, 10671 Athens, Greece.
Argyris KrommydasDepartment of Echocardiography, Mitera Hospital, 15123 Athens, Greece.
Spiros LoggosDepartment of Cardiac Surgery, Mitera Hospital, 15123 Marousi, Athens, Greece.
Vasiliki AndroutsopoulouDepartment of Cardiac Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, 68100 Alexandroupoli, Greece.
Dimitrios StakosCardiology Department, University Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Dimitrios MikroulisDepartment of Cardiac Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, 68100 Alexandroupoli, Greece.
Aphrodite TzifaDepartment of Congenital Cardiology, Mitera Hospital, 15123 Marousi, Athens, Greece.
Fotios MitropoulosDepartment of Cardiac Surgery, Mitera Hospital, 15123 Marousi, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitral annular disjunction (MAD) is a structural abnormality defined by a distinct separation of the mitral valve annulus-left atrial wall continuum and the basal aspect of the posterolateral left ventricle. This anomaly is often observed in patients with myxomatous mitral valve prolapse. Importantly, MAD has been strongly associated with serious ventricular arrhythmias and predisposes to sudden cardiac death. Therefore, we have to emphasize the need to diagnose this morphologic and functional abnormality in routine practice in order to facilitate optimal mitral valve repair and minimize patient risks. Nevertheless, clinical knowledge regarding MAD still remains limited. In the present review, we aim to shed light on several aspects of MAD, including distinct anatomical and pathophysiological characteristics, imaging modalities, association with ventricular arrhythmias, and current methods of treatment.

Indexed as

lethal arrhythmiasmitral disjunctionmitral regurgitationmitral surgerymitral valve prolapsemitral valve repairventricular arrhythmias

Identifiers

PMID39076236
PMCPMC11273801

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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.