Mitral Valve Prolapse Quiz

According to the 2022 ESC EHRA expert consensus statement on arrhythmic mitral valve prolapse (MVP) and mitral annular disjunction complex which of the following sentences about MVP is false:

A. MVP is defined as a systolic displacement of one or both mitral leaflets≥2 mm above the plane of the mitral annulus in the sagittal view of the mitral valve.

B. The prevalence of MVP in Western countries varies from 0.6 to 3.1%

C. Most cases of MVP are sporadic but familial clusters have been reported.

D. Connective tissue diseases are not associated with MVP.

According to the 2022 ESC EHRA expert consensus statement on arrhythmic mitral valve prolapse (MVP) and mitral annular disjunction (MAD) complex which of the following sentences about MAD is false:

A. MAD is the anomalous attachment of the posterior leaflet, directly on atrial wall.

B. The slippage of the mitral annulus with MAD in systole is known as curling.

C. On echocardiography parasternal long axis view is advised for identifying MAD and assessing its length.

D. All patients with MVP present MAD

According to the 2022 ESC EHRA expert consensus statement on arrhythmic mitral valve prolapse (MVP) and mitral annular disjunction (MAD) complex which of the following sentences about the arrhythmic mitral valve complex is false:

A. The arrhythmic mitral valve complex is defined by presence of MVP (with or without MAD), combined with frequent and/or complex VA in the absence of any other well-defined arrhythmic substrate.

B. T wave inversion (TWI), most often in the inferior and lateral leads is a marker of as markers of arrhythmic risk in subjects with MVP.

C. Premature ventricular contractions usually arise from the mitral apparatus showing a right bundle branch morphology and axis orientation varying on the site of origin.

D. Cardiac magnetic resonance is not useful to identify patients with MVP and arrhythmic phenotype.

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Mitral Valve Prolapse Quiz