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[Abnormal chords of the left ventricle]

V G Kondrashova, L P Sheĭko, N S Kondrashova

    Likars'Ka Sprava
    |May 12, 2010
    PubMed

    Insights

    Abnormal chords of the left ventricle (ACLV) have an unclear prognostic significance. Their impact on cardiovascular disease depends on connective tissue dysplasia and associated complications, not just presence.

    Area of Science:

    • Cardiology
    • Pathophysiology
    • Echocardiography

    Background:

    • The prognostic significance of abnormal chords of the left ventricle (ACLV) is ambiguous in medical literature.
    • The role of ACLV in the pathogenesis of cardiovascular disease remains unclear.

    Purpose of the Study:

    • To clarify the prognostic significance of ACLV.
    • To understand the factors influencing ACLV prognosis and their role in cardiovascular disease.

    Main Methods:

    • Literature data analysis.
    • Review of studies evaluating prognostic factors associated with ACLV.

    Main Results:

    • ACLV prognosis is influenced by connective tissue dysplasia, number/location of anomalous chords, and hemodynamic/arrhythmic complications.
    • ACLV can be mistaken for other pathologies or mask significant findings during echocardiography.

    Conclusions:

    • The mere presence of ACLV is less critical than associated factors for prognosis.
    • Accurate identification of anomalous intracavitary structures is crucial to avoid diagnostic errors in echocardiography.

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