Authors:

Nguyen Ngoc Khoi Truong,Vu Hoang Vu, Binh Quang Truong

1Department of Interventional Cardiology, University Medical Center, Ho Chi Minh City, Vietnam,

Abstract:

Background : Echocardiography frequently reveals mitral valve prolapse (MVP), which can be associated with symptoms ranging from a benign course to sometimes catastrophic sequelae, like heart failure, and infrequently, sudden cardiac death. In individuals with MVP, female sex, younger age, physiological or psychological stress, electrical instability, and structural alterations to the mitral apparatus appear to be risk factors for lethal ventricular arrhythmias. We present a rare instance of pregnant lady experiencing MVP-related cardiac arrest.
Case Report : The woman, 34, was taken to the hospital after going into cardiac arrest at home. She was eight weeks pregnant and had no prior history of heart problems. As she came at the Emergency Department, the 12-lead electrocardiogram showed premature ventricular complexes and sinus tachycardia. Her second heart arrest during her hospital stay was determined to be caused by torsades de pointes. Subsequent examinations demonstrated significant regurgitation of the mitral valve as a result of posterior leaflet prolapse and localized hypokinesis of the inferior wall and interventricular septum.
Conclusions : Mitral valve regurgitation is frequently associated with ventricular arrhythmia. It rarely has major repercussions, though. In order to prevent catastrophic outcomes, physicians must be aware of patients with MVP who exhibit indications of a prospective high-risk profile. Malignant arrhythmic mitral valve regurgitation can lead to sudden cardiac death.

Citation:

Nguyen Ngoc Khoi Truong,Vu Hoang Vu, Binh Quang Truong.. Unexpected Cardiac Death in Pregnancy Associated with Mitral Valve Prolapse Case Clinical Imaging and Case Reports 2023..