Stroke and ventricular dysfunction in a patient with isolated left ventricular noncompaction.
A 44-year-old woman developed a cardioembolic stroke. Transthoracic echocardiography demonstrated isolated noncompaction of the ventricular myocardium. Left ventricular systolic function was mildly depressed, which severely decreased during 3 months after discharge. The embolic stroke might occur when the ventricular systolic function had begun to deteriorate. The proper time to start anticoagulation in isolated noncompaction of ventricular myocardium patients may be when left ventricular systolic function decreases below normal.
Department of Medicine, Kumamoto Rosai Hospital. nakazima@fc.kuh.kumamoto-u.ac.jp
Makoto
M
Nakajima
Teruyuki
T
Hirano
Hideki
H
Doi
Makoto
M
Uchino
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D013902:Radiography, Thoracic; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D018487:Ventricular Dysfunction, Left / Q000150:complications*
D000925:Anticoagulants