Clinical manifestations of non-compact left ventricular myocardium

S. N. Ivanova, L. A. Galashevskaya, V. O. Martynov
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Abstract

The purpose — to present the data of a clinical case of non-compact left ventricular myocardium complicated by severe cardiac arrhythmias and heart failure. Material and methods. The diagnosis of non-compact myocardium of the left ventricle became possible since 1990s after the introduction of echocardiography as a diagnostic method. The disease genesis is still unclear, starting with clinical manifestations of complications: cardiac arrhythmia or heart failure or thromboembolism, leading to fatal outcomes. Conclusions. The article is of interest to practitioners, since non-compact myocardium of the left ventricle is a rare disease, which presumably has both a «family» and a «non-family» character, with the possible occurrence of a triad of syndromes or an asymptomatic course without sufficient evidence for the treatment of this pathology.
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左室非致密性心肌的临床表现
目的:报告1例左室非致密性心肌合并严重心律失常和心力衰竭的临床资料。材料和方法。自20世纪90年代超声心动图作为一种诊断方法引入后,左心室非致密性心肌的诊断成为可能。发病原因尚不清楚,以并发症的临床表现开始:心律失常或心力衰竭或血栓栓塞,导致致命的结局。结论。这篇文章引起了从业人员的兴趣,因为左心室非致密性心肌是一种罕见的疾病,可能同时具有“家族性”和“非家族性”特征,可能出现三联综合征或无症状病程,没有足够的证据来治疗这种病理。
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