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Isolated ventricular non-compaction presenting with ventricular tachycardia.
K L Tsui1, K K Chan, T C Leung
1Department of Medicine, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong.
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|April 2, 2003
Summary
Isolated ventricular non-compaction, a rare heart muscle disease, can present unusually late in life. This case highlights a 78-year-old woman with ventricular tachycardia, emphasizing atypical presentations of this congenital cardiomyopathy.
Area of Science:
- Cardiology
- Genetics
- Pathology
Background:
- Isolated ventricular non-compaction (IVNC) is a rare congenital cardiomyopathy characterized by prominent myocardial trabeculations and deep inter-trabecular recesses.
- It is often diagnosed due to heart failure, arrhythmias, or cardioembolic events.
Observation:
- This report details an unusual case of IVNC in a 78-year-old woman.
- The patient presented with ventricular tachycardia years after a stroke, a late and uncommon manifestation.
Findings:
- The diagnosis of IVNC was established in an elderly patient presenting with ventricular tachycardia.
- This represents the oldest reported patient at the time of diagnosis for this condition.
Implications:
- This case expands the known spectrum of IVNC presentation, particularly in older adults.
- It underscores the importance of considering IVNC even in elderly patients with unexplained arrhythmias or cardiac events.
- The findings suggest potential for late-onset manifestations and the need for comprehensive cardiac evaluation across age groups.