scholarly journals The Outcome of Ventricular Arrhythmias Associated With Mitral Valve Prolapse After Catheter Ablation: A Systematic Review and Meta-Analysis

Cureus ◽  
2021 ◽  
Author(s):  
Kevin Wibawa ◽  
Ignatius Ivan ◽  
Giovanni Jessica ◽  
Denio Ridjab
Keyword(s):  
Systematic Review ◽  
Catheter Ablation ◽  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Ventricular Arrhythmias ◽  
Meta Analysis

Mitral valve prolapse and sudden cardiac death: a systematic review and meta-analysis

Heart ◽  
2018 ◽  
Vol 105 (2) ◽  
pp. 144-151 ◽  
Author(s):  
Chrishan J Nalliah ◽  
Rajiv Mahajan ◽  
Adrian D Elliott ◽  
Haris Haqqani ◽  
Dennis H Lau ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Sudden Cardiac Death ◽  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Cardiac Death ◽  
Meta Analysis ◽  
Ventricular Ectopy ◽  
T Wave ◽  
Ventricular Fibrosis

ObjectivesMitral valve prolapse (MVP) is commonly observed as a benign finding. However, the literature suggests that it may be associated with sudden cardiac death (SCD). We performed a meta-analysis and systematic review to determine the: (1) prevalence of MVP in the general population; (2) prevalence of MVP in all SCD and unexplained SCD; (3) incidence of SCD in MVP and (4) risk factors for SCD.MethodsThe English medical literature was searched for: (1) MVP community prevalence; (2) MVP prevalence in SCD cohorts; (3) incidence SCD in MVP and (4) SCD risk factors in MVP. Thirty-four studies were identified for inclusion. This study was registered with PROSPERO (CRD42018089502).ResultsThe prevalence of MVP was 1.2% (95% CI 0.5 to 2.0) in community populations. Among SCD victims, the cause of death remained undetermined in 22.1% (95% CI 13.4 to 30.7); of these, MVP was observed in 11.7% (95% CI 5.8 to 19.1). The incidence of SCD in the MVP population was 0.14% (95% CI 0.1 to 0.3) per year. Potential risk factors for SCD include bileaflet prolapse, ventricular fibrosis complex ventricular ectopy and ST-T wave abnormalities.ConclusionThe high prevalence of MVP in cohorts of unexplained SCD despite low population prevalence provides indirect evidence of an association of MVP with SCD. The absolute number of people exposed to the risk of SCD is significant, although the incidence of life-threatening arrhythmic events in the general MVP population remains low. High-risk features include bileaflet prolapse, ventricular fibrosis, ST-T wave abnormalities and frequent complex ventricular ectopy.Trial registrationPROSPERO (CRD42018089502).

Catheter ablation of atrial tachycardias after mitral valve surgery: A systematic review and meta‐analysis

2020 ◽  
Vol 31 (10) ◽  
pp. 2632-2641 ◽  
Author(s):  
Jacopo Marazzato ◽  
Giangiuseppe Cappabianca ◽  
Fabio Angeli ◽  
Matteo Crippa ◽  
Michele Golino ◽  
...  
Keyword(s):  
Systematic Review ◽  
Catheter Ablation ◽  
Mitral Valve ◽  
Meta Analysis ◽  
Mitral Valve Surgery ◽  
Valve Surgery

Mitral valve surgery; Right lateral minithoracotomy or sternotomy? A systematic review and meta-analysis

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
S.H. Sündermann ◽  
J. Sromicki ◽  
H. Rodriguez Cetina Biefer ◽  
M.Y. Emmert ◽  
B. Seifert ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mitral Valve ◽  
Meta Analysis ◽  
Mitral Valve Surgery ◽  
Valve Surgery

scholarly journals Renal denervation for the treatment of ventricular arrhythmias: A systematic review and meta‐analysis

2021 ◽  
Author(s):  
Gabriela M. Prado ◽  
Felix Mahfoud ◽  
Renato D. Lopes ◽  
Dalmo A. R. Moreira ◽  
Rodolfo Staico ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ventricular Arrhythmias ◽  
Renal Denervation ◽  
Meta Analysis

Catheter ablation of atrial fibrillation in patients with heart failure with preserved ejection fraction: a systematic review and meta-analysis

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
O.M Aldaas ◽  
F Lupercio ◽  
C.L Malladi ◽  
P.S Mylavarapu ◽  
D Darden ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Systematic Review ◽  
Catheter Ablation ◽  
Ejection Fraction ◽  
Meta Analysis ◽  
Preserved Ejection Fraction ◽  
Patients With Heart Failure ◽  
One Year

Abstract Background Catheter ablation improves clinical outcomes in symptomatic atrial fibrillation (AF) patients with heart failure (HF) with reduced ejection fraction (HFrEF). However, the role of catheter ablation in HF patients with a preserved ejection fraction (HFpEF) is less clear. Purpose To determine the efficacy of catheter ablation of AF in patients with HFpEF relative to those with HFrEF. Methods We performed an extensive literature search and systematic review of studies that compared AF recurrence at one year after catheter ablation of AF in patients with HFpEF versus those with HFrEF. Risk ratio (RR) 95% confidence intervals were measured using the Mantel-Haenszel method for dichotomous variables, where a RR<1.0 favors the HFpEF group. Results Four studies with a total of 563 patients were included, of which 312 had HFpEF and 251 had HFrEF. All patients included were undergoing first time catheter ablation of AF. Patients with HFpEF experienced similar recurrence of AF one year after ablation on or off antiarrhythmic drugs compared to those with HFrEF (RR 0.87; 95% CI 0.69–1.10, p=0.24), as shown in Figure 1. Recurrence of AF was assessed with electrocardiography, Holter monitoring, and/or event monitoring at scheduled follow-up visits and final follow-up. Conclusion Based on the results of this meta-analysis, catheter ablation of AF in patients with HFpEF appears as efficacious in maintaining sinus rhythm as in those with HFrEF. Funding Acknowledgement Type of funding source: None

scholarly journals Malignant Arrhythmic Mitral Valve Prolapse: A Continuum of Clinical Challenges from Diagnosis to Risk Stratification and Patient Management

2020 ◽  
Vol 8 (1) ◽  
pp. 2
Author(s):  
Idit Yedidya ◽  
Aniek L. van Wijngaarden ◽  
Nina Ajmone Marsan
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Prolapse ◽  
Ventricular Arrhythmias ◽  
Clinical Decision Making ◽  
Clinical Presentation ◽  
Clinical Decision ◽  
Benign Condition ◽  
Long Period ◽  
Patients Experience ◽  
Hospital Cardiac Arrest

Mitral valve prolapse (MVP) is a common valvular disease, which may remain a benign condition for a long period of time. However, some patients experience malignant ventricular arrhythmias and sudden cardiac death (SCD). It is still largely unknown how to risk-stratify these patients, and no specific recommendations have been proposed to help the clinical decision-making. We present the case of a young man whose first clinical presentation was an out-of-hospital cardiac arrest and was subsequently diagnosed with MVP. We highlighted the possible risk factors for SCD and the challenges in the clinical management of these patients.

scholarly journals VENTRICULAR ARRHYTHMIAS WITH IBRUTINIB USE A SYSTEMATIC REVIEW AND META ANALYSIS

2021 ◽  
Vol 77 (18) ◽  
pp. 3333
Author(s):  
Yaser Khalid ◽  
Neethi Dasu ◽  
Kirti Dasu ◽  
Michael Fradley ◽  
Ankit Shah
Keyword(s):  
Systematic Review ◽  
Ventricular Arrhythmias ◽  
Meta Analysis
Sign in / Sign up

Export Citation Format

Share Document