Key result
A 62-year-old male with recurrent heart failure exacerbations was diagnosed with left ventricular non-compaction cardiomyopathy, emphasizing the role of advanced cardiac imaging and the need for anticoagulation.
Why the study?
LVNC cardiomyopathy has an increasing prevalence with improving cardiac imaging, but there is currently no diagnostic gold standard.
Case Report (n=1)
This case highlights the importance of investigating cardiac imaging findings to diagnose LVNC cardiomyopathy and the clinical role of initiating anticoagulation in patients with significant left ventricular dysfunction.
LVNC heart failure case underscores diagnostic uncertainty; leaves open need for standardized criteria in prospective studies.
Left ventricular non-compaction (LVNC) cardiomyopathy is a condition with increasing prevalence as cardiac imaging technology improves, although there is currently no diagnostic gold standard. Characterized by the presence of a bilayered myocardium with prominent trabeculations, LVNC cardiomyopathy has a wide range of presentations, from asymptomatic to severe heart failure, thromboembolism, and sudden cardiac death. We present the case of a 62-year-old male who was admitted for a heart failure exacerbation with a worsening ejection fraction and signs of increased trabeculations of the left ventricle on an echocardiogram. We highlight the rarity of this condition, especially when diagnosed via echocardiogram, and the importance of considering anticoagulation as part of the treatment plan.
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Gallucci et al. (2023) conducted a case report in Left Ventricular Non-compaction Cardiomyopathy (n=1). Guideline-directed medical therapy and anticoagulation was evaluated. A 62-year-old male with recurrent heart failure exacerbations was diagnosed with left ventricular non-compaction cardiomyopathy, emphasizing the role of advanced cardiac imaging and the need for anticoagulation.
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