2008, English, Article edition: An unusual case of angina pectoris: a patient with isolated non-compaction of the left ventricular myocardium Dabarian, André L.; Mady, Charles; Rochitte, Carlos E.; ...

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Physical Description
  • text/​html
Published
  • Oxford University Press
  • 2008-09-01 00:00:00.0
Language
  • English

Edition details

Title
  • An unusual case of angina pectoris: a patient with isolated non-compaction of the left ventricular myocardium
Author
  • Dabarian, André L.
  • Mady, Charles
  • Rochitte, Carlos E.
  • Shiozaki, Afonso A.
  • Lemos, Pedro A.
  • Salemi, Vera Maria Cury
Published
  • Oxford University Press
  • 2008-09-01 00:00:00.0
Physical Description
  • text/​html
Subjects
Notes
  • A 29-year-old white woman with typical angina pectoris presented diastolic dysfunction and was suggestive of isolated non-compaction of the ventricular myocardium (INCM) by echocardiography. Cardiac catheterization disclosed normal coronary arteries. Cardiovascular magnetic resonance (CMR) depicted prominent left ventricular INCM areas with non-compaction/​compaction ratio of 3.7, and dipiridamol CMR demonstrated global perfusion defect at stress and normal perfusion at rest. Adenosine-induced vasodilation showed subnormal coronary velocity flow reserve in the right, left circumflex, and left anterior descending coronary arteries. The evidence of our case indicates that patients with INCM may present angina pectoris and, probably, relative chronic myocardial ischaemia related to a impaired microvascular function is responsible for this symptom as demonstrated invasively here. It is a possible mechanism for progressive myocardial dysfunction seen in these patients.
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  • Copyright (C) 2008, European Society of Cardiology
Language
  • English
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