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Case Reports
. 2020 Aug 29;1(4):205-209.
doi: 10.36518/2689-0216.1077. eCollection 2020.

Flash Pulmonary Edema: A Case and Review of Left Ventricular Non-Compaction Cardiomyopathy

Affiliations
Case Reports

Flash Pulmonary Edema: A Case and Review of Left Ventricular Non-Compaction Cardiomyopathy

Paula J Watts et al. HCA Healthc J Med. .

Abstract

Description Left ventricular non-compaction cardiomyopathy is an uncommon type of cardiomyopathy caused by malformation of the myocardium during embryogenesis. This results in trabeculations within the ventricular wall that can affect the left and, less commonly, right ventricles. Presentation ranges from clinically asymptomatic to life-threatening arrhythmias. It is a rare and relatively unknown form of cardiomyopathy, though thought to be underdiagnosed. Prevalence is increasing due to improvements in imaging and awareness. Management is similar to that of other cardiomyopathies including angiotensin-converting-enzyme inhibitors or angiotensin receptor blockers, beta-blockers, diuretics, automatic implantable cardioverter defibrillator placement and cardiac transplantation. We present a case of a 38-year-old, otherwise healthy, Indian male who presented with flash pulmonary edema and was found to have left ventricular non-compaction cardiomyopathy. This report includes a review of left ventricular non-compaction cardiomyopathy.

Keywords: LVNC; arrhythmia; cardiomyopathies/physiology/etiology/genetics; echocardiography; inborn genetic diseases; pulmonary edema/etiology; spongiform cardiomyopathy.

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Conflict of interest statement

Conflicts of Interest The authors declare they have no conflicts of interest.

Figures

Figure 1
Figure 1
Apical 4-chamber view demonstrating classic non-compaction cardiomyopathy appearance with prominent trabeculations and intertrabecular recesses.
Figure 2
Figure 2
Parasternal short axis view showing >2:1 ratio of non-compacted to compacted myocardium. End-systole. (Zurich criteria)

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