NDLI: Non-Compaction-Kardiomyopathie: Eine seltene echokardiographische Diagnose.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Münkle, T. Kaufmann, H. Keim, M.
Description	Author Affiliation: Münkle T ( Hegau-Bodensee-Klinikum, I. Medizinische Klinik, Singen/Hohentwiel. thomas.muenkle@hbh-kliniken.de)
Abstract	HISTORY AND CLINICAL FINDINGS: A 55-year-old woman was referred to our hospital with signs of cerebral ischaemia i. e. dysarthria and weakness of the buccal branch of the facial nerve. Additionally the patient reported symptoms of heart failure NYHA class II. Six months earlier the patient also had visual disturbances. Magnetic resonance imaging (MRI) had shown ischaemic lesions. INVESTIGATIONS: A recent MRI confirmed the suspected diagnosis of ischaemia in the territory supplied by the left middle cerebral artery. The echocardiography was characterized by a reduced left ventricular ejection fraction (25 %) due to isolated ventricular non-compaction (IVNC). TREATMENT AND COURSE: The patient was treated with a combination therapy including ACE-inhibitors and diuretics. An oral anticoagulation was recommended as secondary prophylaxis. At the time of discharge the patient had no residual neurological deficits. CONCLUSION: Isolated ventricular non-compaction is a rare type of cardiomyopathy. Possible manifestations include systemic embolic events, arrhythmias and heart failure. Echocardiography is the investigation of choice in identifying characteristic changes.
File Format	HTM / HTML
ISSN	00120472
Issue Number	13
Volume Number	135
e-ISSN	14394413
Journal	DMW - Deutsche Medizinische Wochenschrift
Language	German
Publisher	Thieme Medical Publishers
Publisher Date	2010-04-01
Publisher Place	Germany
Access Restriction	Subscribed
Subject Keyword	Discipline Medicine Echocardiography Ventricular Dysfunction, Left Diagnosis Angiotensin-converting Enzyme Inhibitors Therapeutic Use Anticoagulants Diuretics Drug Therapy, Combination Echocardiography, Doppler, Color Female Heparin, Low-molecular-weight Humans Infarction, Middle Cerebral Artery Isolated Noncompaction Of The Ventricular Myocardium Magnetic Resonance Imaging Middle Aged Mitral Valve Insufficiency Drug Therapy Phenprocoumon Case Reports English Abstract Journal Article
Alternative Title	Non-compaction cardiomyopathy: A rare echocardiographic diagnosis
Content Type	Text
Resource Type	Case study Article
Subject	Medicine

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