Research Opportunities in the Treatment of Mitral Valve Prolapse

被引:28
作者
Delling, Francesca N. [1 ]
Noseworthy, Peter A. [2 ]
Adams, David H. [3 ]
Basso, Cristina [4 ]
Borger, Michael [5 ]
Bouatia-Naji, Nabila [6 ]
Elmariah, Sammy [1 ,7 ]
Evans, Frank [8 ]
Gerstenfeld, Edward [1 ]
Hung, Judy [7 ]
Le Tourneau, Thierry [9 ]
Lewis, John [10 ]
Miller, Marc A. [11 ]
Norris, Russell A. [12 ]
Padala, Muralidhar [13 ]
Perazzolo-Marra, Martina [14 ]
Shah, Dipan J. [15 ]
Weinsaft, Jonathan W. [16 ]
Enriquez-Sarano, Maurice [17 ]
Levine, Robert A. [18 ]
机构
[1] Univ Calif San Francisco, Dept Med, Cardiovasc Div, San Francisco, CA 94158 USA
[2] Mayo Clin, Dept Cardiovasc Dis, Rochester, MN USA
[3] Icahn Sch Med Mt Sinai, Dept Cardiovasc Surg, New York, NY 10029 USA
[4] Univ Padua, Cardiovasc Pathol, Dept Cardiac Thorac & Vasc Sci, Padua, Italy
[5] Leipzig Heart Ctr, Leipzig, Germany
[6] Univ Paris Cite, INSERM, PARCC, Paris, France
[7] Massachusetts Gen Hosp, Dept Med, Cardiol Div, Boston, MA USA
[8] NHLBI, Bldg 10, Bethesda, MD 20892 USA
[9] Nantes Univ, CHU Nantes, CNRS, INSERM,Inst Thorax, Nantes, France
[10] Heart Valve Voice US, Washington, DC USA
[11] Icahn Sch Med Mt Sinai, Helmsley Electrophysiol Ctr, New York, NY 10029 USA
[12] Med Univ South Carolina, Dept Neurosurg, Dept Regenerat Med & Cell Biol, Charleston, SC USA
[13] Emory Univ, Sch Med, Dept Surg, Cardiothorac Surg Div, Atlanta, GA 30322 USA
[14] Univ Padua, Dept Cardiac Thorac & Vasc Sci, Padua, Italy
[15] Weill Cornell Med Coll, Dept Cardiol, Houston Methodist, Houston, TX USA
[16] Weill Cornell Med, Dept Med, New York, NY USA
[17] Minneapolis Heart Inst Fdn, Minneapolis, MN USA
[18] Massachusetts Gen Hosp, Cardiac Ultrasound Lab, Boston, MA 02114 USA
基金
美国国家卫生研究院; 美国医疗保健研究与质量局;
关键词
cardiac magnetic resonance imaging; echocardiography; mitral regurgitation; mitral valve prolapse; sudden cardiac death; LEFT-VENTRICULAR DYSFUNCTION; SURGICAL-CORRECTION; SUDDEN-DEATH; HYPERTROPHIC CARDIOMYOPATHY; MYOCARDIAL FIBROSIS; ATRIAL-FIBRILLATION; NATURAL-HISTORY; REGURGITATION; REPAIR; ARRHYTHMIAS;
D O I
10.1016/j.jacc.2022.09.044
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In light of the adverse prognosis related to severe mitral regurgitation, heart failure, or sudden cardiac death in a subset of patients with mitral valve prolapse ( MVP), identifying those at higher risk is key. For the first time in decades, researchers have the means to rapidly advance discovery in the field of MVP thanks to state-of-the-art imaging techniques, novel omics methodologies, and the potential for large-scale collaborations using web-based platforms. The National Heart, Lung, and Blood Institute recently initiated a webinar-based workshop to identify contemporary research opportunities in the treatment of MVP. This report summarizes 3 specific areas in the treatment of MVP that were the focus of the workshop: 1) improving management of degenerative mitral regurgitation and associated left ventricular systolic dysfunction; 2) preventing sudden cardiac death in MVP; and 3) understanding the mechanisms and progression of MVP through genetic studies and small and large animal models, with the potential of developing medical therapies. (c) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC- ND license ( http://creativecommons.org/licenses/by-nc- nd/4.0/).
引用
收藏
页码:2331 / 2347
页数:17
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