Evidence map›Paper›PMID 40447364›Full record

ArticleJACC. Case reports2025

The Arrhythmic Mitral Valve Prolapse Syndrome: A New Insight for Understanding the Arrhythmogenic Substrate?

Rahul Ghelani, Ji-Jian Chow, Alejandra Miyazawa, Jessica Artico, Graham Cole, Prapa Kanagaratnam, Nicholas S Peters, Amanda Varnava

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Rahul GhelaniDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom. Electronic address: rahul.ghelani1@nhs.net.
Ji-Jian ChowDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Alejandra MiyazawaDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Jessica ArticoDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Graham ColeDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Prapa KanagaratnamDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Nicholas S PetersDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.
Amanda VarnavaDepartment of Cardiology, Hammersmith Hospital, Imperial College Healthcare Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMitral valve prolapse (MVP) is the most common valvular heart disease and historically was considered benign in the absence of severe mitral regurgitation and normal left ventricular function. However, an emerging subset associated with sudden cardiac death that does not follow traditional risk stratification has been established termed the arrhythmic mitral valve prolapse (A-MVP) syndrome. This cohort provide a clinical challenge on identifying those at risk of lethal arrhythmias who may benefit from a primary prevention implantable cardiac defibrillator. CASE SUMMARY: We present 7 cases in which patients have survived cardiac arrest due to A-MVP, with the aim of further describing phenotypic characteristics that define this syndrome. DISCUSSION: We observed that after arrest, a high proportion of patients developed rapidly worsening mitral regurgitation. This observed link may provide insight into the underlying substrate of arrhythmogenesis.

Indexed as

cardiac magnetic resonancecardiac riskechocardiographyelectrophysiologymitral valvephenotypeprimary preventionventricular fibrillationventricular tachycardia

Identifiers

PMID40447364
PMCPMC12235458

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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.