How many clues make an evidence? An unusual case of aborted cardiac arrest due to mitral valve prolapse.
Laura PiscitelliAntonio Gianluca RoblesRoberto CostantinoValentina ForteMaddalena ZingaroIsabella RosaAndrea Igoren GuaricciSilvio RomanoLuigi SciarraFrancesco BartolomucciDomenico Riccardo Rosario ChieppaPublished in: Future cardiology (2023)
There is an increasing awareness on the association between mitral valve prolapse (MVP) and sudden cardiac death. Mitral annular disjunction (MAD) is a phenotypic risk feature that can help in risk stratification. We present a case of a 58-year-old woman who experienced an out-of-hospital cardiac arrest caused by ventricular fibrillation interrupted by a direct current-shock. No coronary lesions were documented. Echocardiogram showed myxomatous MVP. Nonsustained ventricular tachycardia have been registered during hospital stay. Interestingly, cardiac magnetic resonance revealed MAD and a late gadolinium enhancement area in inferior wall. Finally, a defibrillator has been implanted. For arrhythmic risk stratification of MVP with MAD, multimodality imaging is the diagnostic tool to find out the disease behind many cardiac arrests of unknown cause.
Keyphrases
- mitral valve
- left ventricular
- cardiac arrest
- cardiac resynchronization therapy
- magnetic resonance
- left atrial
- cardiopulmonary resuscitation
- aortic stenosis
- heart failure
- coronary artery disease
- coronary artery
- machine learning
- high resolution
- healthcare
- single cell
- urinary incontinence
- magnetic resonance imaging
- computed tomography
- emergency department
- neural network
- acute care
- aortic valve