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European Journal of Heart Failure 2005 7(1):99-102; doi:10.1016/j.ejheart.2004.03.004
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© 2004 European Society of Cardiology

An unusual cause of heart failure identified by echocardiography in an octogenarian

Ming Lee Lin, Kim Connelly* and David Prior

Cardiac Investigation Unit, St. Vincent*s Hospital Melbourne, P.O. Box 2900, Fitzroy VIC 3065, Australia

* Corresponding author. Tel.: +61-3-9288-4423; fax: +61-3-9288-4422. E-mail address: connelly{at}medstv.unimelb.edu.au


   Abstract

Non-compaction of the ventricular myocardium is a rare congenital cardiomyopathy that carries an unfavorable prognosis. It is associated with a high incidence of progressive heart failure, thromboembolism and malignant arrhythmias. Echocardiography currently remains the imaging modality most commonly used for diagnosis. We describe an unusual case of isolated non-compaction of the left ventricle in an octogenarian male to highlight the need for echocardiography in all patients with suspected heart failure, in order to determine aetiology, prognosis and assess treatment.

Key Words: Noncompaction • Ventricle • Myocardium • Heart failure • Cardiomyopathy

Received October 10, 2003; Revised January 15, 2004; Accepted March 20, 2004


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Eur J Heart FailHome page
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