A CLINICAL CASE OF ISOLATED NON-COMPACT LEFT VENTRICULAR MYOCARDIUM IN A 29-YEAR-OLD PATIENT

Amina M. Aliyeva; Алиева Амина Магомедовна; Irina V. Kovtyukh; Ковтюх Ирина Владимировна; Natalia V. Teplova; Теплова Наталья Вадимовна; Kira V. Voronkova; Воронкова Кира Владимировна; Elena V. Reznik; Резник Елена Владимировна; Irina E. Baykova; Байкова Ирина Евгеньевна; Gayane G. Totolyan; Тотолян Гаяне Гургеновна; Vitaliy T. Timofeev; Тимофеев Виталий Тимофеевич; Irina A. Kotikova; Котикова Ирина Александровна; Igor G. Nikitin; Никитин Игорь Геннадиевич

doi:10.17816/medjrf627408

A CLINICAL CASE OF ISOLATED NON-COMPACT LEFT VENTRICULAR MYOCARDIUM IN A 29-YEAR-OLD PATIENT

Authors: Aliyeva A.M.¹, Kovtyukh I.V.², Teplova N.V.³, Voronkova K.V.⁴, Reznik E.V.³, Baykova I.E.³, Totolyan G.G.⁵, Timofeev V.T.⁵, Kotikova I.A.⁵, Nikitin I.G.³
Affiliations:
1. N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow
2. Scientific-Clinical Center N 2 of the Russian Research Center for Surgery named after Academician B.V. Petrovsky
3. Pirogov Russian National Research Medical University
4. N.I. Pirogov Russian National Research Medical University
5. Pirogov Russian National Research Medical University (Pirogov Medical University)
Section: Case reports
Submitted: 24.02.2024
Accepted: 16.05.2024
Published: 16.05.2024
URL: https://medjrf.com/0869-2106/article/view/627408
DOI: https://doi.org/10.17816/medjrf627408
ID: 627408

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Abstract

Non-compact myocardium of the left ventricle is a rare heterogeneous pathology, which is based on the two-layer structure of the myocardium. One layer is formed by compact myocardium, the other layer is a spongy structure with multiple trabeculae and intertrabecular pouches communicating with the cavity of the left ventricle. Despite the fact that several different approaches to the diagnosis of non-compact myocardium of the left ventricle have been developed, there is no generally accepted definition of this form of pathology for both echocardiography and cardiac magnetic resonance imaging. This pathology can occur in any age group and is often asymptomatic. Due to the fact that the etiology and pathogenesis of non-compact myocardium of the left ventricle have not been fully studied, treatment of this disease to date remains nonspecific and symptomatic. In this publication, we present a description of the clinical case of a 29-year-old patient who was diagnosed with non-compact myocardium of the left ventricle. The disease debuted in the form of cardiac arrhythmia; according to the results of Holter monitoring, frequent ventricular extrasystole and atrioventricular block of the first and second degrees were registered. Echocardiography showed a decrease in left ventricular ejection fraction. The diagnosis was made after magnetic resonance imaging of the heart, which revealed the presence of non-compact myocardium of the anterior, lateral and inferior walls of the left ventricle in the apical and middle segments.

Keywords

non-compact myocardium of the left ventricle, ventricular extrasystole, echocardiography, Holter monitoring of the electrocardiogram, magnetic resonance imaging

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About the authors

Amina M. Aliyeva

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia, Moscow

Author for correspondence.
Email: amisha_alieva@mail.ru
ORCID iD: 0000-0001-5416-8579
SPIN-code: 2749-6427

PhD in Medical Sciences, associate professor of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Russian Federation, 117997, Moscow,1 Ostrovityanova Str.