Key result
Transthoracic echocardiography and cardiac MRI were essential in the early diagnosis, management, and follow-up of a 50-year-old woman with isolated left ventricular non-compaction cardiomyopathy.
Why the study?
Diagnosis of left ventricular non-compaction is often missed or delayed due to a lack of knowledge and an absence of universally-accepted diagnostic criteria.
Case Report (n=1)
This case highlights the importance of multimodality imaging, specifically TTE and cardiac MRI, in the early diagnosis and management of left ventricular non-compaction cardiomyopathy.
Supports TTE/CMR for LVNC evaluation in select cases; leaves open prospective validation of diagnostic algorithms.
Non-compaction cardiomyopathy (NCC) is characterized by trabeculations in either one or both ventricles. Clinical presentation is highly variable: dyspnea, palpitation, thromboembolic events, arrhythmia, or sudden cardiac death. There are currently no universally-accepted criteria for classifying and diagnosing left ventricular non-compaction (LVNC) cardiomyopathy. Transthoracic echocardiography (TTE) is the diagnostic exam of choice. The diagnosis is often missed or delayed because of a lack of knowledge about this uncommon disease. Progression of LVNC is highly variable and prognosis is very difficult to predict. We report a case of a 50-year-old female patient with a history of total thyroidectomy under hormonal supplementation who consults for dyspnea and paroxysmal palpitations revealing an isolated LVNC. This case emphasizes the importance of imaging techniques, which are, TTE and cardiac magnetic resonance imaging (MRI) in early diagnosis, management, and follow-up.
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Maatof et al. (2023) conducted a case report in Left ventricular non-compaction (LVNC) cardiomyopathy (n=1). Transthoracic echocardiography (TTE) and cardiac magnetic resonance imaging (MRI) was evaluated on Diagnosis of isolated LVNC. Transthoracic echocardiography and cardiac MRI were essential in the early diagnosis, management, and follow-up of a 50-year-old woman with isolated left ventricular non-compaction cardiomyopathy.
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