Key result
A 41-year-old male with exertional chest pain and reduced ejection fraction was diagnosed with left ventricular noncompaction and treated with defibrillation and lifelong anticoagulation.
Case Report (n=1)
This case highlights the importance of considering unconventional etiologies like LVNC in new-onset heart failure and the need for ICD and anticoagulation in arrhythmogenic structural heart diseases.
Case of adult LVNC with nonischemic cardiomyopathy warrants diagnostic consideration; extends sparse reports but leaves open prospective validation.
Isolated left ventricular noncompaction (LVNC) is a rare form of cardiomyopathy that is characterized by deep intertrabecular recesses and abnormal trabeculations that can be observed on transthoracic echocardiogram (TTE) or cardiac MRI (CMR) studies. Our case describes a 41-year-old male who presented with exertional chest pain and was discovered to have significantly reduced left ventricular ejection fraction (LVEF) which was nonischemic in etiology as confirmed by cardiac catheterization. Subsequent evaluation with CMR imaging revealed noncompaction of the left ventricle. The patient received defibrillation and lifelong anticoagulation given his elevated risk of sudden cardiac death (SCD). This case highlights the importance of considering unconventional etiologies of cardiomyopathy when investigating new-onset heart failure as well as the necessity of life-saving measures such as anticoagulation and defibrillator implantation in view of arrhythmogenic structural heart diseases.
No takes yet. Share an insight, caveat, or question.
Tian et al. (2019) conducted a case report in Left ventricular noncompaction (n=1). Defibrillation and anticoagulation was evaluated. A 41-year-old male with exertional chest pain and reduced ejection fraction was diagnosed with left ventricular noncompaction and treated with defibrillation and lifelong anticoagulation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: