Noncompaction and neuromuscular disease with positive troponin-T in a nonagenerian.
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.
Finsterer
Josef
J
Krankenanstalt Rudolfstiftung, Vienna, Austria. duarte@aonmail.at
Stöllberger
Claudia
C
D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency; D001024:Aortic Valve Stenosis; D001281:Atrial Fibrillation / Q000175:diagnosis; D009202:Cardiomyopathies; D006333:Heart Failure / Q000175:diagnosis; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis* / Q000503:physiopathology; D008297:Male; D008944:Mitral Valve Insufficiency; D009468:Neuromuscular Diseases / Q000175:diagnosis*; D020107:Troponin T / Q000032:analysis*
D020107:Troponin T