Diagnosis of left-ventricular non-compaction in patients with left-ventricular systolic dysfunction: time for a reappraisal of diagnostic criteria?

Kohli, Sanjay K; Pantazis, Antonios; Shah, Jaymin; Adeyemi, Benjamin; Jackson, Gordon; McKenna, William J.; Sharma, Sanjay; Elliott, Perry

doi:10.1093/eurheartj/ehm481

Cited by 392 publications

(330 citation statements)

References 30 publications

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“…Patient with LVNC may be present with heart failure, thrombus embolism, and ventricular arrhythmias [4]. In this report we present a patient with LVNC in postpartum period.…”

Section: Discussionmentioning

confidence: 84%

“…Echocardiographic features described include multiple predominant ventricular trabeculations, multiple deep intratrabecular recesses communicating with the ventricular cavity visualized with color Doppler, ventricular dilatation, and reduced systolic and diastolic ventricular function [6]. Jenni and colleges suggested the detection of two myocardial layers, noncompact and compact, in short axis views of the left ventricle in end-diastole and LVNC is diagnosed according to the ratio of these layers [4,7]. Other congenital heart defects are accompanied with NCLV and our patient also had a patent foramen ovale.…”

Section: Discussionmentioning

confidence: 99%

“…Echocardiography and Magnetic resonance imaging (MRI) usually use for diagnosis [3]. The presentation may follow heart failure, thrombus embolism, and ventricular arrhythmias [4] and is associated with poor prognosis [5]. LVNC with pregnancy is rare to observe [6].…”

Section: Introductionmentioning

confidence: 99%

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Peripartum noncompaction cardiomyopaty:new diagnosed after pregnancy

Asoğlu¹,

Türkmen²,

Aktürk³

et al. 2018

Med-Science

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Left-ventricular non-compaction (LVNC) cardiomyopathy is an arrest in the normal process of myocardial compaction and few cases have been reported just after pregnancy. In this case report, we present a patient who had heart failure symptoms at first month of after 38 weeks pregnancy. Echocardiography revealed prominent trabeculation and deep intertrabecular recesses at the left ventricular with an impaired ejection fraction. There is no specific treatment for LVNC just after pregnancy besides the usual management of dilated cardiomyopathy.

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“…Patient with LVNC may be present with heart failure, thrombus embolism, and ventricular arrhythmias [4]. In this report we present a patient with LVNC in postpartum period.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Peripartum noncompaction cardiomyopaty:new diagnosed after pregnancy

Asoğlu¹,

Türkmen²,

Aktürk³

et al. 2018

Med-Science

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“…However, a recent study 36 demonstrated that a large portion of patients diagnosed with systolic heart failure met the Basal segments of the LV < 20% < 27%…”

Section: Limitations Of the Diagnostic Criteriamentioning

confidence: 99%

Miocardiopatia não compactada: uma visão atual

Rosa¹,

Salemi²,

Alexandre³

et al. 2011

Arq. Bras. Cardiol.

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Isolated non-compaction cardiomyopathy is a rare disease that is likely to develop in the embryonic period. It is caused by the intrauterine arrest of the myocardial compaction process in the beginning of the fetal development. It is characterized by prominent myocardial trabeculations and deep intertrabecular recesses, as well as the thickening of the myocardium into two distinct layers (compacted and not compacted). Even though this disease is said to be prevalent in the pediatric population or together with congenital heart disease, one can understand that this disease occurs in isolation, because the diagnosis is becoming more common in adult patients that have no other heart disease. The clinical manifestations vary greatly, because they range from absence of symptoms to congestive heart failure, arrhythmias and systemic thromboembolism. Echocardiography is the most widely used diagnostic procedure, but the little knowledge about this disease, its similarity to other myocardial diseases and the limitation of the echocardiographic technique used delay the diagnosis. The purpose of this review is to show that that other imaging techniques, such as MRI, CT and left ventriculography have emerged as diagnostic alternatives.

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“…Considering that the trabeculation occurs from the basis to the apical region and from the epicardium to the endocardium, the apical alteration is considered the predominant type. Its main clinical manifestations are heart failure, arrhythmias (supraventricular or ventricular ones) and episodes of arterial embolism 2 . An increasing number of cases have been observed in asymptomatic individuals.…”

Section: Introductionmentioning

confidence: 99%