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54 years old with fatigue and shortness of breath : Case 4

Contrast Echocardiography for assessment of LV structure and function

Patient Description

54 year old male teacher
Referred to Outpatients for assessment due to fatigue and shortness of breath
Heart failure symptoms and signs, referred for echocardiography

Resting echocardiography

Apical 4 chamber view showing severely impaired systolic function

Contrast-enhanced image depicting clear non-compacted myocardium in the apical region

Parasternal short-axis view showing severely impaired systolic function

Contrast-enhanced image depicting clear non-compacted myocardium in the apical region

Conclusion :

Hypertrabeculation, fulfilling criteria[1] for Non-Compaction Cardiomyopathy (NCCMP)
Patient had a Cardiac MRI scan which confirmed echo diagnosis of non-compaction

References

Jenni et al. Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart 2001;86:666–71.