Mitral Valve Prolapse: Cardiac Arrest With Long-Term Survival
Document Type
Article
Publication Date
1-1-1990
Description
Cardiac arrest has been reported in patients with mitral valve prolapse; however, clinical characteristics and survival information are limited since most of the cases reported include autopsy data. Nine patients (2 male, 7 female) with mitral valve prolapse were identified who had cardiac arrest; ventricular fibrillation was documented in 8 patients; resuscitation was unsuccessful in 2. Eight had a history of palpitations (months to 15 years duration) and ventricular arrhythmias, 3 had a history (5-15 years) of recurrent syncope, and 1 was totally asymptomatic. Cardiac catheterization-angiographic studies in 8 patients demonstrated normal coronary artery anatomy and mitral valve prolapse. All 9 patients had auscultatory and echocardiographic evidence of mitral valve prolapse. Seven survivors (6 still alive) were followed from 3 to 14 years after cardiac arrest. A subset of patients with mitral valve prolapse and cardiac arrest is described in whom past medical history is compatible with cardiac arrhythmias or syncope, and whose long-term prognosis appears better than patients with other causes of cardiac arrest.
Citation Information
Boudoulas, Harisios; Schaal, Stephen F.; Stang, John M.; Fontana, Mary E.; Kolibash, Albert J.; and Wooley, Charles F.. 1990. Mitral Valve Prolapse: Cardiac Arrest With Long-Term Survival. International Journal of Cardiology. Vol.26(1). 37-44. https://doi.org/10.1016/0167-5273(90)90244-Y PMID: 2298517 ISSN: 0167-5273