Left ventricular non-compaction; an unusual presentation with supraventricular tachycardia in the emergency department.

Am J Emerg Med

Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, MI, United States of America; Oakland University William Beaumont School of Medicine, Rochester, MI, United States of America. Electronic address:

Published: October 2019

Left ventricular non-compaction (LVNC) is a cardiomyopathy with altered ventricular wall anatomy. This condition is characterized by the presence of prominent left ventricular trabeculae, a thin compacted layer, and deep intertrabecular recesses that are continuous with the left ventricular cavity and separated from the epicardial coronary. Left ventricular non-compaction can present with acute heart failure, arrhythmias, or sudden cardiac death. We present a case of a common cardiac arrhythmia in the emergency department with a work up consistent with LVNC being the underlying etiology.

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http://dx.doi.org/10.1016/j.ajem.2019.158364DOI Listing

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