Arrhythmic mitral valve complex: diagnostic and therapeutic approach

David Trujillo-Flores, Servicio de Consulta Externa de Cardiología, Hospital de Especialidades 5 de Mayo, Instituto de Seguridad y Servicios Sociales de los Trabajadores al Servicio de los Poderes del Estado de Puebla (ISSSTEP), Puebla; Servicio de Hospitalización de Cardiología, Hospital de Especialidades 5 de Mayo, ISSSTEP, Puebla; Servicio de Ecocardiografía, Hospital de Especialidades 5 de Mayo, ISSSTEP, Puebla; México
Fanny de Dios Jiménez-Aguilera, Servicio de Hospitalización de Cardiología, Hospital de Especialidades 5 de Mayo, ISSSTEP, Puebla, México
Luis A. Moreno-Ruiz, División de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México, México
Álvaro Coutiño-Pérez, División de Medicina Interna, Hospital General de Zona No. 2, IMSS, Tuxtla Gutiérrez, Chiapas, México

The arrhythmic mitral valve prolapse is an entity involved in cases of unexplained sudden cardiac death, which has recently gained importance due to current diagnostic methods. However, since the presence of mitral valve prolapse has been considered a benign finding, its arrhythmic implications have been underestimated. The importance of the present review is to highlight clinical and office parameters that allow identifying individuals with arrhythmic risk through appropriate stratification, in order to apply timely therapeutic measures and avoid fatal outcomes.

Keywords: Arrhythmic mitral valve prolapse. Mitral valve prolapse. Mitral annulus disjunction. Sudden cardiac death.