Abstract
Basso and colleagues1 elegantly describe a well-circumscribed entity combining mitral valve prolapse (MVP) with left ventricular fibrosis and ventricular arrhythmia causing 7% of all sudden cardiac deaths (SCDs) in young adults from the Veneto region. Malignant MVP affects a tiny minority of patients with MVP, and it is responsible for a very small absolute number of all SCDs in young adults. Assuming that the annual incidence of SCD in this age group ranges between 1.21 (in young athletes) and 3.76 (general population aged 12–35) per 100 000,2 malignant MVP may be causing …
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