Role of Myocardial Deformation to Improve Assessment of Regional and Global Function in Non-Isolated Non-Compaction Cardiomyopathy: New Insights in Cardiac Mechanics

نویسندگان

  • Olivier Huttin
  • Zied Frikha
  • Pierre-Yves Marie
  • Yves Juillière
  • Christine Selton-Suty
چکیده

A 55-year-old man with acute congestive heart failure was referred to the echocardiography laboratory for evaluation of a dilated cardiomyopathy with severe left ventricular systolic dysfunction and criteria for non-compaction. Cardiac magnetic resonance imaging confirmed a non-compacted apical LV with segmental dysfunction and an inferior myocardial infarction. Coronary angiogram showed a chronic right coronary occlusion. Speckle tracking imaging with analysis of peak systolic strain and post systolic strain index helped to differentiate ischemia and non-compaction as mechanisms of wall motion abnormalities. These findings support the concept that noncompaction is a phenotypic marker of an underlying diffuse cardiomyopathy involving both morphologically normal and non-compacted myocardium and the association with micro and macro vascular coronary arteries disease is discussed.

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تاریخ انتشار 2014