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AF (anticoagulation vs antiplatelet) — EECC MCQ

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HardCardiologyAF (anticoagulation vs antiplatelet)EECC

A 42-year-old woman has bileaflet mitral-valve prolapse, frequent complex ventricular ectopy and unexplained syncope. CMR shows papillary-muscle and inferolateral LV fibrosis. Which phenotype should be suspected?

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Correct answer: B — Arrhythmic mitral-valve prolapse

Syncope, complex ectopy and characteristic papillary-muscle or inferolateral scar identify an arrhythmic mitral-valve prolapse phenotype rather than uncomplicated prolapse. Risk assessment integrates rhythm burden, morphology, fibrosis and mitral-annular disjunction.

Reference: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines