Noncompaction cardiomyopathy echocardiography

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

On echocardiography there is ventricular hypertrophy with deep recesses which tend to be located apically [1].

Echocardiographic findings

  • There are deep trabeculations in the ventricular wall
  • There is systolic and diastolic dysfunction
  • The left ventricular wall is thick with a two layered appearance
  • The epicardial layer is compacted and thin and the endocardial layer is non-compacted and thick
  • The ratio of the non-compacted endocardial layer to the epicardial layer is > 2 in adults and >1.4 in children
  • 41% of patients will have involvement of the RV apex [2]

References

  1. Weiford BC, Subbarao VD, Mulhern KM, Noncompaction of the ventricular myocardium. Circulation 109 (24): 2965-71 2004
  2. .Oechslin EN, Attenhofer Jost CH, Rojas JR, et al. Long-term follow-up of 34 adults with isolated left ventricular noncompaction: a distinct cardiomyopathy with poor prognosis. J Am Coll Cardiol. 2000; 36: 493–500.

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