The different clinical scenarios of left ventricular non-compaction: report of three cases

M. Bolognesi, D. Bolognesi
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Abstract

Abstract Introduction Left ventricular non-compaction is a morphological abnormality of exces-sive trabeculation of the left ventricle, and often, but not always, complicated by cardioembolism, arrhythmias and ventricular dysfunction. Since its irst mention in the 1980s, left ventricular non-compaction cardiomyopathy has gained increasing awareness and atten-tion. Thirty or more years of research and an ever-increasing number of published articles have improved our understanding of this rare cardiomyo-pathy, yet many issues remain unre-solved. In particular, the phenotypic and clinical expression of the same genetic cardiomyopathy assumes dif-ferent forms depending on the type of subjects involved. These case reports describe the different clinical evolu-tions of the same cardiomyopathy inde-pendently of the anatomical substrate and illustrate two aspects of the same disease in different types of patients. Case report Isolated left ventricular non-com-paction cardiomyopathy has been observed both as a sporadic and a familiar form, but newly diagnosed patients have been stratiied for symp-toms found at the time of diagnosis.
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左心室不压实的不同临床表现:附3例报告
左室不压实是左室过度小梁的形态学异常,通常但并非总是合并心栓塞、心律失常和心室功能障碍。自20世纪80年代首次被提及以来,左室非压实性心肌病越来越受到人们的关注和重视。三十多年的研究和越来越多的发表文章提高了我们对这种罕见心肌病的理解,但许多问题仍未解决。特别是,相同的遗传性心肌病的表型和临床表现根据所涉及的受试者类型而呈现不同的形式。这些病例报告描述了同一种心肌病独立于解剖学基础的不同临床演变,并说明了不同类型患者同一种疾病的两个方面。孤立性左室非紧张性心肌病是一种散发性和常见的形式,但新诊断的患者已根据诊断时发现的症状进行分层。
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