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Document Details : Title: Left ventricular hypertrabeculation/noncompaction and neuromuscular disorders in idiopathic dilated cardiomyopathy Author(s): STÖLLBERGER, Claudia , LEITNER, Silvia , KOPSA, Wolfgang , FINSTERER, Josef Journal: Acta Cardiologica Volume: 59 Issue: 4 Date: August 2004 Pages: 425-430 DOI: 10.2143/AC.59.4.2005209 Abstract : Objective — Our aim was to assess 1) the association of idiopathic dilative cardiomyopathy (IDC) and left ventricular hypertrabeculation/noncompaction (LVHT), 2) the use of cardiac magnetic resonance imaging (CMRI) in IDC and 3) the association of IDC and neuromuscular disorders (NMD). Methods — Patients in whom coronary heart disease had been excluded by coronary angiography and whose left ventricular end diastolic diameter was > 59 mm and fractional shortening < 25% with no other causes of cardiac dysfunction, were invited to participate. Results — Among 25 patients, 18 refused CMRI (claustrophobia n = 13, inability to lie flat n = 5), thus 7 patients (2 female, 47-66 years) were included. LVHT was found in 5/7 cases. In 4/5 patients who were neurologically investigated, a NMD was found. In 2/7 cases echocardiography failed to visualise the ventricular apex. Conclusions — Patients with IDC should be investigated neurologically. In IDC patients with poor echocardiographic quality CMRI should be applied. |
