Evidence map›Paper›PMID 40863377›Full record

ReviewJournal of cardiovascular development and disease2025

Mitral Annular Disjunction: Epidemiology, Diagnostic Methods, Prognosis, and Novel Implications.

Vasileios Tsimpiris, Georgia Kousourna, Aristi Boulmpou, Magdalini Petridou, Chalil Tsavousoglou, Dimitrios Kotzadamis, Christodoulos Papadopoulos, Dimitrios Ntelios, Theodoros Moysiadis, Vassilios Vassilikos and 1 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Mitral Valve Surgery with and Without Mitral Annular Disjunction: A Meta-Analysis.Journal of cardiovascular development and disease · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Vasileios TsimpirisThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0009-0007-4646-3755
Georgia KousournaThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.
Aristi BoulmpouThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0000-0002-5008-114X
Magdalini PetridouThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.
Chalil TsavousoglouThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0000-0001-6835-3257
Dimitrios KotzadamisThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0009-0002-0986-0739
Christodoulos PapadopoulosThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0000-0001-9643-9066
Dimitrios NteliosThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.
Theodoros MoysiadisDepartment of Computer Science, School of Sciences and Engineering, University of Nicosia, 2417 Nicosia, Cyprus.ORCID 0000-0003-1673-196X
Vassilios VassilikosThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0000-0003-0885-9170
Efstathios PagoureliasThird Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, PC 54642 Thessaloniki, Greece.ORCID 0000-0003-0189-8353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitral annular disjunction (MAD) is an increasingly recognized structural abnormality of the mitral valve apparatus, often associated with mitral valve prolapse and a heightened risk of ventricular arrhythmias and sudden cardiac death. It is defined by a separation between the mitral annulus and the left ventricular myocardium, best visualized during systole. In this review, we present an updated and comprehensive overview of MAD, drawing from recent large-scale imaging studies, expert consensus documents, and newly proposed classifications such as true versus pseudo-MAD. We discuss its prevalence, anatomical features, and diagnostic challenges across multiple imaging modalities, including transthoracic and transesophageal echocardiography, cardiovascular magnetic resonance, and computed tomography. We also explore its pathophysiological role in arrhythmogenesis, its prognostic implications, and current management strategies. Special attention is given to risk stratification based on imaging and cardiac rhythm findings, and we propose a practical clinical framework to guide decision-making. This review aims to support clinicians in recognizing MAD as a potentially arrhythmogenic condition that requires systematic evaluation and follow-up.

Indexed as

cardiac arrhythmiasmitral annular disjunctionmitral valve prolapsesudden cardiac death

Identifiers

PMID40863377
PMCPMC12387043

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.