Document Detail


Consensus on unsolved issues of left ventricular hypertrabeculation/noncompaction is warranted.
MedLine Citation:
PMID:  19897256     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
As long as there is no consensus on the definition, diagnostic criteria, and pathogenesis of left ventricular hypertrabeculation (LVHT)/noncompaction misdiagnosis, overreaction, and mistreatment of this abnormality will eventually continue. When considering a therapy for patients presenting with LVHT it has to be taken into account that LVHT is not associated with an increased risk of thrombo-embolism in the absence of atrial fibrillation or systolic dysfunction. There is also no proof that the degree of LVHT correlates with the degree of systolic dysfunction. Secondary prevention of stroke/embolism and sudden cardiac death is indicated in LVHT only if cardiac investigations reveal atrial fibrillation, systolic dysfunction, or ventricular arrhythmias. Up to what we know at the moment LVHT patients should be closely monitored by conventional cardiologic and neurologic diagnostic tools and appropriate measures taken, only if indicated.
Authors:
Josef Finsterer; Claudia Stöllberger
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Publication Detail:
Type:  Journal Article     Date:  2009-11-07
Journal Detail:
Title:  International journal of cardiology     Volume:  145     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  497     Citation Subset:  IM    
Copyright Information:
Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.
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