How many clues make an evidence? An unusual case of aborted cardiac arrest due to mitral valve prolapse.

Autor: Piscitelli, Laura, Robles, Antonio Gianluca, Costantino, Roberto, Forte, Valentina, Zingaro, Maddalena, Rosa, Isabella, Guaricci, Andrea Igoren, Romano, Silvio, Sciarra, Luigi, Bartolomucci, Francesco, Rosario Chieppa, Domenico Riccardo
Zdroj: Future Cardiology; Apr2023, Vol. 19 Issue 5, p255-260, 6p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index