Document Detail


Noncompaction and neuromuscular disease with positive troponin-T in a nonagenerian.
MedLine Citation:
PMID:  17929284     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a 94-year-old male with a history of atrial fibrillation, aortic stenosis, heart failure, apical thrombus, arterial hypertension, aneurysm of the abdominal aorta, and a urinary bladder carcinoma, cardiologic investigations revealed pulmonary rales, enlarged heart, absolute arrhythmia, and positive troponin-, myocardial thickening, enlarged cardiac cavities, hypocontractility, aortic stenosis, slight aortic insufficiency, severe mitral insufficiency, and surprisingly left ventricular hypertrabeculation. Upon neurological investigations, a polyneuropathy was suspected but a myopathy not completely excluded. The presented case shows that LVHT occurs also in nonagenarians and is associated with neuromuscular disease and positive troponin-T, in the absence of ischemic heart disease or severe renal failure. The cause of troponin-T-positivity remains multi-factorial.
Authors:
Josef Finsterer; Claudia Stöllberger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  30     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-17     Completed Date:  2008-01-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  527-8     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2007 Wiley Periodicals, Inc.
Affiliation:
Krankenanstalt Rudolfstiftung, Vienna, Austria. duarte@aonmail.at
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Aortic Valve Insufficiency
Aortic Valve Stenosis
Atrial Fibrillation / diagnosis
Cardiomyopathies
Heart Failure / diagnosis
Humans
Hypertrophy, Left Ventricular / diagnosis*,  physiopathology
Male
Mitral Valve Insufficiency
Neuromuscular Diseases / diagnosis*
Troponin T / analysis*
Chemical
Reg. No./Substance:
0/Troponin T

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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