EHRA expert consensus statement on arrhythmic mitral valve prolapse and mitral annular disjunction complex in collaboration with the ESC Council on valvular heart disease and the European Association of Cardiovascular Imaging endorsed cby the Heart Rhythm Society, by the Asia Pacific Heart Rhythm Society, and by the Latin American Heart Rhythm Society
EP Europace, vol. 24, pp. 1981–2003
Abstract
Graphical Abstract Risk stratification scheme. Risk stratification aiming at assessing the risk of VAs and SCD in patients with MVP, involving two phases based on the clinical and imaging context and the uncovered arrhythmia. In the absence of ventricular tachycardia, phenotypic risk features will trigger the intensity of screening for arrhythmia. Green boxes indicate green heart consensus statements and yellow boxes indicate yellow heart consensus statements. High risk - sustained VT, polymorphic NSVT, fast (>180 bpm) NSVT, VT/NSVT resulting in syncope. ICD = implantable cardioverter defibrillator; LA = left atrium; LGE = late gadolinium enhancement; LV-EF = left ventricular ejection fraction; MAD = mitral annular disjunction; MV = mitral valve; PVCs = premature ventricular contractions; TWI = T-wave inversion; VT = ventricular tachycardia.
Authors 38
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Avi Sabbag corresponding
Affiliation as printed
The Davidai Center for Rhythm Disturbances and Pacing, Chaim Sheba Medical Center , Tel Hashomer 52621 ,
The Davidai Center for Rhythm Disturbances and Pacing, Chaim Sheba Medical Center, Tel Hashomer 52621, Israel
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Affiliation as printed
Department of Cardiovascular Medicine, Mayo Clinic , Rochester 55905, Minnesota
Department of Cardiovascular Medicine, Simone Veil Hospital , Cannes 06400 ,
Department of Cardiovascular Medicine, Simone Veil Hospital, Cannes 06400, France
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Affiliation as printed
Cardiologist Electrophysiologist, Cardiovid Clinic, Medellin , Colombia 050034, South America
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Affiliation as printed
Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità Pubblica, Università degli Studi di Padova , Padova 35128 ,
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Affiliation as printed
Cardiology and Cardiac Electrophysiology, EP Lab. Hospital Angeles Pedregal. Mexico City 10700, Board member, Mexican Society of Cardiology
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Universitair Ziekenhuis Brussel
Affiliation as printed
Cardiology Department, Centrum voor hart en vaatziekten, Universitair Ziekenhuis Brussel, Free University of Brussels , Brussels 1090 ,
Cardiology Department, Centrum voor hart en vaatziekten, Universitair Ziekenhuis Brussel, Free University of Brussels, Brussels 1090, Belgium
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Affiliation as printed
Department of Cardiology, L’hôpital de la Timone , Marseille, 13005 ,
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Affiliation as printed
Clinic for Interventional Electrophysiology, Heart Center RHÖN-KLINIKUM Campus Bad Neustadt , 97616 ,
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Albert Einstein College of Medicine
Affiliation as printed
Albert Einstein College of Medicine at Montefiore Hospital , New York, NY 10467 ,
Albert Einstein College of Medicine at Montefiore Hospital, New York, NY 10467, USA
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Affiliation as printed
Minneapolis Heart Institute , Minneapolis, MN 55407 ,
Minneapolis Heart Institute, Minneapolis, MN 55407, USA
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Affiliation as printed
Service de Cardiologie, CCP-CHU Pontchaillou , Rennes 35033 ,
Service de Cardiologie, CCP-CHU Pontchaillou, Rennes 35033, France
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National Hospital Organization · Kure Medical Center
Affiliation as printed
Department of Cardiovascular Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center , Hiroshima 737-0023 ,
Department of Cardiovascular Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima 737-0023, Japan
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The University of Melbourne · Northern Health
Affiliation as printed
Department of Cardiology, Austin and Northern Health, University of Melbourne , Melbourne 3010 ,
Department of Cardiology, Austin and Northern Health, University of Melbourne, Melbourne 3010, Australia
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Nina Ajmone Marsan Aachen
Leiden University Medical Center
Affiliation as printed
Leiden University Medical Center, Cardiology , Leiden 2333 ,
Leiden University Medical Center, Cardiology, Leiden 2333, Netherlands
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Icahn School of Medicine at Mount Sinai
Affiliation as printed
Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,
Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
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Institute of Clinical and Experimental Medicine
Affiliation as printed
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM) , Prague 73117 ,
Department of Cardiology, Institute for Clinical and Experimental Medicine (IKEM), Prague 73117, Czech Republic
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University of Oklahoma Health Sciences Center
Affiliation as printed
Heart Rhythm Institute and Section of Cardiovascular Diseases, University of Oklahoma Health Sciences Center , Oklahoma City, OK 0372 ,
Heart Rhythm Institute and Section of Cardiovascular Diseases, University of Oklahoma Health Sciences Center, Oklahoma City, OK 0372, USA
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Affiliation as printed
ProCardio Center for Innovation, Department of Cardiology, Oslo University Hospital , Rikshospitalet, Oslo ,
ProCardio Center for Innovation, Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway
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Affiliation as printed
Cantonal Hospital, Cardiology Department , CH-1211 Geneva ,
Cantonal Hospital, Cardiology Department, CH-1211 Geneva, Switzerland
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Leiden University Medical Center
Affiliation as printed
Department of Cardiology, Leiden University Medical Center , Leiden 2333 ,
Department of Cardiology, Leiden University Medical Center, Leiden 2333, The Netherlands
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Ziekenhuis Oost-Limburg · Hasselt University
Affiliation as printed
Ziekenhuis Oost-Limburg, Hasselt University , Genk, Hasselt 3600 ,
Ziekenhuis Oost-Limburg, Hasselt University, Genk, Hasselt 3600, Belgium
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St George's Hospital · St George's, University of London · St George’s University Hospitals NHS Foundation Trust
Affiliation as printed
Consultant and Reader in Cardiac Electrophysiology, Director, Advanced Ventricular Arrhythmia Training and Research Program, St. George’s Hospital NHS Foundation Trust, St. George’s, University of London , SW17 0QT ,
Consultant and Reader in Cardiac Electrophysiology, Director, Advanced Ventricular Arrhythmia Training and Research Program, St. George's Hospital NHS Foundation Trust, St. George's, University of London, SW17 0QT, UK
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Affiliation as printed
Centre for cardiovascular science, University of Edinburgh , EH16 4TJ ,
Centre for cardiovascular science, University of Edinburgh, EH16 4TJ, UK
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Instituto Nacional de Cardiología
Affiliation as printed
Instituto Nacional De Cardiologia Ich, Electrophysiology Department , Mexico Df 14080 ,
Instituto Nacional De Cardiologia Ich, Electrophysiology Department, Mexico Df 14080, Mexico
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Mahidol University · Ramathibodi Hospital
Affiliation as printed
Faculty of Medicine Ramathibodi Hospital, Mahidol University , Bangkok 73170 ,
Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 73170, Thailand
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Hospital Israelita Albert Einstein
Affiliation as printed
Coordenador - Centro de Arritmia, Hospital Israelita Albert Einstein , São Paulo - SP, 05652-900 ,
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Hospital of the University of Pennsylvania
Affiliation as printed
Hospital of the University of Pennsylvania , Philadelphia, PA 19104 ,
Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
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University of Liège · University of Pittsburgh · UPMC Health System · University of Pittsburgh Medical Center
Affiliation as printed
C.H.U. du Sart-Tilman, Universite de Liege , Liege 4000 ,
University of Pittsburgh, UPMC, Heart and Vascular Institute , ittsburgh, PA 15219 ,
C.H.U. du Sart-Tilman, Universite de Liege, Liege 4000, Belgium
University of Pittsburgh, UPMC, Heart and Vascular Institute, ittsburgh, PA 15219, USA
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Affiliation as printed
Full Professor of Cardiovascular Medicine, Director, Inherited Arrhythmogenic Cardiomyopathies and Sports Cardiology Unit, Dept. of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School , Padova 35122 ,
Full Professor of Cardiovascular Medicine, Director, Inherited Arrhythmogenic Cardiomyopathies and Sports Cardiology Unit, Dept. of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Padova 35122, Italy
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Barts Health NHS Trust · University College London
Affiliation as printed
UCL & Barts Heart Centre, Co-Director of Cardiovascular Research Barts NHS Trust, Inherited Arrhythmia Clinical Lead, UCL MRC DTP Theme Lead, BHRS Committee Research Lead, Institute of Cardiovascular Science, UCL, Department of Cardiology, Barts Heart Centre E1 1BB ,
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Affiliation as printed
Centre for Heart Rhythm Disorders, University of Adelaide , South Australia 5000 ,
Centre for Heart Rhythm Disorders, University of Adelaide, South Australia 5000, Australia
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Affiliation as printed
Clinique Cecil Hirslanden Lausanne & University Hospital Fribourg, Cardiology 1003 ,
Clinique Cecil Hirslanden Lausanne & University Hospital Fribourg, Cardiology1003, Switzerland
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Affiliation as printed
University of Wisconsin School of Medicine and Public Health, Milwaukee, MI 53705, USA
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MetroHealth Medical Center · Case Western Reserve University
Affiliation as printed
Clinical Electrophysiologist, MetroHealth Medical Center, Professor, Case Western Reserve University 44106 ,
Clinical Electrophysiologist, MetroHealth Medical Center, Professor, Case Western Reserve University44106, USA
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Asian Institute of Gastroenterology
Affiliation as printed
Consultant Cardiologist and Electrophysiologist, AIG HOSPITAL , Hyderabad 500032 ,
Consultant Cardiologist and Electrophysiologist, AIG HOSPITAL, Hyderabad 500032, India
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Affiliation as printed
C.H.U. du Sart-Tilman, Universite de Liege , Liege 4000 ,
C.H.U. du Sart-Tilman, Universite de Liege, Liege 4000, Belgium
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Hospital Universitari Germans Trias i Pujol
Affiliation as printed
Heart Institute, Hospital University Germans Trias i Pujol , Badalona 08916 ,
Heart Institute, Hospital University Germans Trias i Pujol, Badalona 08916, Spain
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Affiliation as printed
C.H.U. du Sart-Tilman, Universite de Liege , Liege 4000 ,
C.H.U. du Sart-Tilman, Universite de Liege, Liege 4000, Belgium
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