Mitral Valve Prolapse Arrhythmic Risk

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorOslo University Hospital

About this trial

Mitral valve prolapse (MVP) is common with a 2-3 % prevalence in the general association and generally associated with a favorable prognosis. However, a subgroup of MVP patients, known as arrhythmic mitral valve prolapse (AMVP) has an increased burden of severe ventricular arrhythmias and risk of sudden cardiac death. Identifying high risk patients who may benefit of potential implantable cardioverter-defibrillator (ICD) implantation is therefore critically important. Risk stratification in AMVP is still challenging, and the ability to estimate arrhythmic risk at the individual level is limited.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

MVP according to the ESC definition AND

A total PVC burden ≥ 0,5 % per day OR

Documentation of NSVT on any modality OR

More severe ventricular arrhythmias (sustained ventricular tachycardia, ventricular fibrillation, aborted cardiac arrest) that occurred >1 month after the beginning of follow up.

Disqualifiers

VT/VF as the initial presentation without prior cardiac evaluation (ECG, echo, Holter)

History of myocardial infarction

Obstructive coronary diseases - ≥50 % stenosis that was not treated

History of coronary artery bypass surgery

Trial population

Mitral Valve Prolapse with Ventricular Arrhythmias

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

  • Risk prediction model

    Other intervention

    A multivariable risk prediction model will be developed and validated to estimate the individual risk of severe ventricular arrhythmias in patients with mitral valve prolapse. The model will be based on clinical, electrocardiographic, arrhythmic, echocardiographic and CMR variables. The risk prediction model is evaluated as part of this observational study and does not constitute a study-specific therapeutic or diagnostic intervention.

Treatment groups

500 Participants
are divided into 1 treatment group
Group A: Patients with Mitral Valve Prolapse and Ventricular Arrhythmias1 intervention

Trial outcomes

Primary outcomes

1

Occurence and Number of Severe Ventricular Arrhythmias in participants

Occurence and number of severe ventricular arrhythmias, defined as ventricullar fibrillation, sustained ventricular tachycardia, aborted cardiac arrest or appropriate implantable cardioverter-defibrillator (ICD) therapy, occuring more than 1 month after baseline.

Time frame
From >6 months after baseline until the end of available follow-up, minimum follow-up 6 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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