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March 3, 2026Kardiologia PolskaOpen Access

Arrhythmogenic MVP is a complex syndrome characterized by clinical, anatomical, myocardial, and electrical features (including bileaflet prolapse, mitral annular disjunction, and myocardial fibrosis) that requires integrated risk stratification.

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Why the study?

Arrhythmogenic MVP represents a heterogeneous syndrome with risk of malignant ventricular arrhythmias and sudden cardiac death, underscoring the need to summarize recent progress, expert recommendations, and registry data.

Design

State-of-the-Art Review

Authors

PWPaulina Wejner-MikHMHector I MichelenaKMKatarzyna Mizia-Stec

Discussion

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Overview

Prompts detailed echo/ECG phenotyping to stratify SCD risk in MVP; extends recognition of this heterogeneous syndrome beyond isolated prolapse.

Key Points

  • Ventricular arrhythmias are a significant risk in mitral valve prolapse, especially in a subset of patients.
  • Research shows that arrhythmic risk remains post-surgery for mitral regurgitation due to existing myocardial substrate.
  • Clinical characteristics, like mitral annular disjunction and myocardial fibrosis, are key indicators of arrhythmogenic MVP.
  • Registry data emphasize the need for detailed echocardiographic evaluation to identify true arrhythmogenic MVP cases.

Structured PICO

P
Population
Patients with mitral valve prolapse (MVP) and arrhythmogenic MVP

Arrhythmogenic MVP represents a heterogeneous disease spectrum requiring detailed echocardiographic and electrocardiographic assessment to identify the subset of patients at risk for malignant ventricular arrhythmias and sudden cardiac death.

Cite This Study

Wejner-Mik et al. (2026) studied this question.

synapsesocial.com/papers/69a75b95c6e9836116a23210https://doi.org/10.33963/v.phj.110914
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