TITLE

Midterm follow-up in a patient with left ventricular noncompactation cardiomyopathy and CRT-D

AUTHOR(S)
Văcărescu, Cristina; Mornoş, Cristian; Goanţă, Emilia-Violeta; Ruhmann, Tiberiu; Dragoş Cozma, Dragoş
PUB. DATE
September 2015
SOURCE
Romanian Journal of Cardiology;2015, Vol. 25 Issue 3, p303
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Introduction - Left ventricular noncompaction (LVNC) is a rare cardiomyopathy characterized by excessive trabeculation in the myocardium. Management of LVNC includes treatment for heart failure, arrhythmias, and thromboembolic events. Case report -- A 59 years old patient was admitted for syncope and episodes of nonsustained ventricular tachycai dia (VT).The ECG showed atrial fibrillation and left bundle brunch block. Transthoracic ecocardiography revealed particular aspect of excessive trabeculation, low ejection fraction, severe global hypokinesia, intra and interventricular asynchronism. Excessive trabeculation of left ventricle was evaluated using contrast ecocardiography.A biventricular defibrillator implant was performed. Obvious left ventricular function and NYHA class improvement occurred short time after implantation. During the follow-up the patient experienced sustained VT converted by internal electric shock. Few data are known about CRT-D indications and follow-up in patients with LVNC. Our case report supports defibrillator implant for primary prevention of sudden cardiac death and shows a favorable outcome of CRT in patients with LVNC.
ACCESSION #
110166935

 

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