Evidence map›Paper›PMID 39973752›Full record

ArticleCirculation. Arrhythmia and electrophysiology2025

Characteristics of Patients With the Arrhythmogenic Mitral Valve Prolapse Syndrome and Sudden Cardiac Arrest and Sustained Ventricular Arrhythmias.

Apurba Chakrabarti, John R Giudicessi, Fatima M Ezzeddine, Francesca N Delling, Shalini Dixit, Yoo Jin Lee, Daniele Muser, Silvia Magnani, Aniek Van Wijngaarden, Nina Ajmone Marsan and 30 more

Abstract readMulticenter Study
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2025. 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. Review
  2. Article
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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

40 authors.

Apurba Chakrabarti *Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.C., A.D., M.G., F.B., J.J.L.).ORCID 0000-0002-7206-4666
John R Giudicessi *Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (J.R.G., F.M.E., M.J.A.).ORCID 0000-0001-5871-0265
Fatima M EzzeddineDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (J.R.G., F.M.E., M.J.A.).ORCID 0000-0002-6204-4557
Francesca N DellingDivision of Cardiology, University of California San Francisco (F.N.D., S.D., Y.J.L.).ORCID 0000-0002-5224-4096
Shalini DixitDivision of Cardiology, University of California San Francisco (F.N.D., S.D., Y.J.L.).
Yoo Jin LeeDivision of Cardiology, University of California San Francisco (F.N.D., S.D., Y.J.L.).ORCID 0009-0008-2348-2520
Daniele MuserCardiothoracic Department, University of Udine, Italy (D. Muser).ORCID 0000-0003-4323-5988
Silvia MagnaniCardiology Department and Intensive Care Unit, San Paolo Hospital, Università degli Studi di Milano, Italy (S. Magnani).ORCID 0000-0002-3233-5564
Aniek Van WijngaardenDepartment of Cardiology, Leiden University Medical Centre, the Netherlands (A.V.W., N.A.M.).ORCID 0000-0001-5636-8945
Nina Ajmone MarsanDepartment of Cardiology, Leiden University Medical Centre, the Netherlands (A.V.W., N.A.M.).ORCID 0000-0001-7208-5769
Marc A MillerHelmsley Electrophysiology Centre, Mount Sinai School of Medicine, New York, NY (M.A.M., J.G., M.G.T.).
Jonathan GandhiHelmsley Electrophysiology Centre, Mount Sinai School of Medicine, New York, NY (M.A.M., J.G., M.G.T.).
Maria G TrivieriHelmsley Electrophysiology Centre, Mount Sinai School of Medicine, New York, NY (M.A.M., J.G., M.G.T.).ORCID 0000-0001-6601-3267
Jonaz FontDepartment of Cardiology, University Hospital of Caen, France (J.F.).ORCID 0000-0002-3103-9739
Raphael MartinsDepartment of Cardiology, Centre Hospitalier Universitaire de Rennes, France (R.M.).ORCID 0000-0001-5716-6712
James A McCaffreyDivision of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia (J.A.M.C., F.E.M.).ORCID 0000-0002-6889-8721
Pasquale SantangeliDepartment of Cardiovascular Medicine, Cleveland Clinic Foundation, OH (P.S.).ORCID 0000-0002-0023-9666
Francis E MarchlinskiDivision of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia (J.A.M.C., F.E.M.).ORCID 0000-0001-7962-9423
Himal ChapagainDepartment of Cardiovascular Diseases, University of Pittsburgh, PA (H.C., D. Mathew, K.K.).ORCID 0009-0002-9284-5205
Don MathewDepartment of Cardiovascular Diseases, University of Pittsburgh, PA (H.C., D. Mathew, K.K.).ORCID 0000-0002-3376-9751
Krishna KancharlaDepartment of Cardiovascular Diseases, University of Pittsburgh, PA (H.C., D. Mathew, K.K.).ORCID 0000-0003-2550-9359
Faisal F SyedDivision of Cardiology, University of North Carolina, Chapel Hill (F.F.S., A.A.).ORCID 0000-0003-4209-970X
Ahad AbidDivision of Cardiology, University of North Carolina, Chapel Hill (F.F.S., A.A.).ORCID 0009-0000-6263-1666
Lukasz CerbinDivision of Cardiology, University of Colorado Denver, Aurora (L.C., W.S.T., L.G.).
Wendy S TzouDivision of Cardiology, University of Colorado Denver, Aurora (L.C., W.S.T., L.G.).ORCID 0000-0002-8514-1165
Lohit GargDivision of Cardiology, University of Colorado Denver, Aurora (L.C., W.S.T., L.G.).
Domenico G Della RoccaTexas Cardiac Arrhythmia Institute, St. David's Medical Centre, Austin, TX (D.G.D.R., A.N., S. Mohanty) and.ORCID 0000-0003-3837-3462
Andrea NataleTexas Cardiac Arrhythmia Institute, St. David's Medical Centre, Austin, TX (D.G.D.R., A.N., S. Mohanty) and.ORCID 0000-0002-5487-0728
Sanghamitra MohantyTexas Cardiac Arrhythmia Institute, St. David's Medical Centre, Austin, TX (D.G.D.R., A.N., S. Mohanty) and.ORCID 0000-0001-6601-944X
Seth H SheldonDepartment of Cardiovascular Medicine, University of Kansas School of Medicine (S.H.S.).ORCID 0000-0003-0543-2040
Ling KuoDepartment of Cardiology, Taipei Veterans General Hospital, Taiwan (L.K.).ORCID 0000-0002-8604-6151
Kristina H HaugaaProCardio Center for Research Based Innovation, Oslo University Hospital, Rikshospitalet, Norway (K.H.H., E.W.A.).ORCID 0000-0002-4900-0453
Eivind W AabelProCardio Center for Research Based Innovation, Oslo University Hospital, Rikshospitalet, Norway (K.H.H., E.W.A.).ORCID 0000-0002-2022-4568
Andres EnriquezDivision of Cardiology, Queens University, Kingston, Ontario, Canada (A.E.).ORCID 0000-0002-8146-360X
Shingo MaedaArrhythmia Advanced Therapy Centre, AOI Universal Hospital, Kawasaki, Japan (S. Maeda).ORCID 0000-0001-6964-0653
Amrish DeshmukhDivision of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.C., A.D., M.G., F.B., J.J.L.).ORCID 0000-0002-2733-2844
Michael GhannamDivision of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.C., A.D., M.G., F.B., J.J.L.).
Frank BogunDivision of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.C., A.D., M.G., F.B., J.J.L.).
Michael J Ackerman *Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (J.R.G., F.M.E., M.J.A.).ORCID 0000-0002-8011-3333
Jackson J Liang *Division of Cardiovascular Medicine, University of Michigan, Ann Arbor (A.C., A.D., M.G., F.B., J.J.L.).ORCID 0000-0001-8608-8899

Funding

PET/MRI imaging of mitral valve prolapseR01HL166720 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI David H Adams, Zahi A. Fayad · 2023 to 2026
$8.2M
NHLBI NIH HHS R01 HL166720
6 · The paper itself

Abstract

backgroundPatients with arrhythmogenic mitral valve prolapse syndrome are at increased risk for life-threatening ventricular arrhythmias, but studies have been limited by small sample sizes. We sought to assemble an international arrhythmogenic mitral valve prolapse syndrome registry to delineate the clinical, imaging, and treatment characteristics of patients with arrhythmogenic mitral valve prolapse syndrome who survived sudden cardiac arrest (SCA) or had sustained ventricular tachycardia (VT) or ventricular fibrillation.

methodsIn this descriptive registry, we characterized patients with arrhythmogenic mitral valve prolapse syndrome who survived SCA, sustained VT, or ventricular fibrillation. Deidentified data were abstracted locally and combined centrally.

resultsWe included 148 patients who had SCA or VT/ventricular fibrillation. Patients had a mean age of 43.7±15.4 years; 68% were women, 73% had bileaflet prolapse, 65% had mitral annular disjunction, 67% had nonsustained VT, and 59% had inferolateral T-wave inversions. Syncope (n=54, 48%) and anterolateral T-wave inversion (n=26, 22%) were relatively common. Catheter ablation was performed in 50 (35%) patients for premature ventricular complexes and in 18 (17.7%) patients for VT. Sites of origin for arrhythmias were commonly in the papillary muscles, fascicles, mitral annulus, and inferior/inferolateral left ventricle.

conclusionsIn this international descriptive registry of patients with arrhythmogenic mitral valve prolapse syndrome and SCA, patients were young, women, and had bileaflet mitral valve prolapse, mitral annular disjunction, inferolateral T-wave inversions, and nonsustained VT. A history of syncope and anterolateral T-wave inversions was relatively common in patients who survived SCA or sustained VT/ventricular fibrillation.

Indexed as

Death, Sudden, CardiacMitral Valve ProlapseTachycardia, VentricularVentricular FibrillationAdultCatheter AblationElectrocardiographyFemaleHumansMaleMiddle AgedRegistriesRisk Factorsarrhythmiacardiac arrestcatheter ablationmitral valve prolapsesudden cardiac death

Identifiers

PMID39973752
PMCPMC13192240

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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.