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Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
Clinical and Echocardiography Features of Diagnosed in Adulthood Isolated Left Ventricular Noncompaction: A Case
Wen-Hung Huang1, Kuo-Tzu Sung1, Jui-Peng Tsai1,2,3,4
1Department of Internal Medicine, Division of Cardiology, Mackay Memorial Hospital, Taipei, Taiwan.
Insights
Left ventricular noncompaction cardiomyopathy (LVNC) is a rare genetic heart condition. Early identification and treatment are crucial due to potential fatal complications like heart failure and arrhythmias.
Area of Science:
- Cardiology
- Genetics
- Medical Diagnostics
Background:
- Left ventricular noncompaction cardiomyopathy (LVNC) is a primary genetic cardiomyopathy characterized by a unique spongy meshwork.
- Patients often present with heart failure, arrhythmias, and thrombus formation.
- Clinical and echocardiographic features of LVNC are not widely understood.
Purpose of the Study:
- To analyze clinical and echocardiographic features of LVNC.
- To highlight the importance of early diagnosis and management of LVNC.
Main Methods:
- Retrospective survey of 11 patients diagnosed with LVNC based on echocardiographic criteria.
- Analysis of echocardiographic parameters and clinical data.
Main Results:
- A majority of adult patients exhibited significantly depressed left ventricular systolic function.
- Echocardiography revealed characteristic features of LVNC.
Conclusions:
- Early identification of individuals with suspected LVNC is essential.
- Establishing definitive diagnostic criteria and early treatment strategies are critical for managing fatal complications.
Background:
Left ventricular noncompaction cardiomyopathy (LVNC) is a primary genetic cardiomyopathy with morphologically unique characteristics, including loose "spongy" meshwork. Subjects carrying these disorders were typically presented with triad of heart failure, cardiac arrhythmias, and consequences of mural thrombi formation. The clinical and echocardiographic features regarding LVNC, however, are not widely known.
Methods:
A retrospective survey involving 11 patients who fulfilled echocardiographic criteria for LVNC defined by Jenni et al. was conducted at MacKay Memorial Hospital from January 2009 to March 2017. Parameters assessed by echocardiography and clinical data were further analyzed.
Results:
Significantly depressed left ventricular systolic function assessed by echocardiography was noticed in a majority of our adult study cases.
Conclusion:
Considering the fatal complications LVNC may lead to, it is essential for clinical cardiologists to early identify suspicious individuals, and the establishment of definitive criteria and early treatment is essential.
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