Supraventricular arrhythmias in noncompaction of left ventricle: Is this a frequent complication?

被引:20
作者
Fazio, Giovanni [1 ]
Corrado, Giovanni [2 ]
Pizzuto, Caterina [1 ]
Zachara, Elisabetta [5 ]
Rapezzi, Carlo [3 ,4 ,9 ]
Sulafa, Ali K.
Sutera, Loredana [1 ]
Stollberger, Claudia [7 ]
Sormani, Luca [2 ]
Finsterer, Joseph [6 ]
Benatar, Abraham [8 ]
Di Gesaro, Gabriele [1 ]
Novo, Giuseppina [1 ]
Cavusoglu, Yuksel [2 ,7 ]
Baumhakel, Magnus [3 ,4 ,9 ]
Drago, Fabrizio [10 ]
Carerj, Scipione [11 ]
Pipitone, Salvatore [12 ]
Novo, Salvatore [1 ]
机构
[1] Univ Palermo, Dept Cardiol, I-90133 Palermo, Italy
[2] Valduce Hosp, Dept Cardiol, Como, Italy
[3] Univ Bologna, Inst Cardiol, Bologna, Italy
[4] St Orsola Marcello Malpighi Hosp, Bologna, Italy
[5] S Camillo Forlanini Hosp, Div Cardiol 2, Rome, Italy
[6] Krankenanstalt Rudolfstiftung Wien, Vienna, Austria
[7] Krakenanstalt, Dept Med 2, Vienna, Austria
[8] Free Univ Brussels, Dept Pediat Cardiol, B-1050 Brussels, Belgium
[9] Univ Saarlandes Kliniken, Med Klin & Poliklin, Hamburg, Germany
[10] Bambino Gesu Pediat Hosp, Dept Pediat Cardiol, Arrhythmias Serv, Rome, Italy
[11] Univ Messina, Dept Cardiol, I-98100 Messina, Italy
[12] Casa Sole Hosp, Div Cardiol, Palermo, Italy
关键词
isolated left ventricular noncompaction; supraventricular arrhythmias; atrial fibrillation; palpitation syncope;
D O I
10.1016/j.ijcard.2007.02.061
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Isolated left ventricular noncompaction is the result of incomplete myocardial morphogenesis, leading to persistence of the embryonic myocardium. The condition is recognised by an excessively prominent trabecular meshwork and deep intertrabecular recesses of the left ventricle. Whether these intertrabecular recesses are a favorable substrate for supraventricular arrhythmias is unclear, even if the incidence of chronic heart failure seems to be high. Results: We evaluated a continuous series of 238 patients affected by noncompaction. In 4 cases the patients reported palpitations and in 4 an episode of syncope. Periodic holter monitoring was performed every 6 months for 4 years. Only 9 patients had documented atrial fibrillation. In no cases we observed supraventricular tachycardia. Conclusions: Noncompaction alone does not seem to be a risk factor for supraventricular arrhythmias. (c) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:255 / 256
页数:2
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