Noncompaction of the left ventricular myocardium as a cause of stroke in young people: a report of two cases / Não compactação do miocárdio ventricular esquerdo como causa de AVC em jovens: um relatório de dois casos

• Autor(a) principal: Fartes, Maria Carolina Correia Amorim Casal
• Data de Publicação: 2021
• Outros Autores: Ribeiro, Ana Carolina Santiago, Tavares, Ana Carolina Perota, Silva, Débora de Paula, da Silva, Luana Cordeiro Amorim, Moreira, Marcos Aurélio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Journal of Health Review
• Texto Completo: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/41352
• topic: “Noncompaction of the left ventricular myocardium”; stroke; “young people”.

Left ventricular noncompaction is a rare cardiomyopathy, of unknown etiology, characterized by a compacted epicardium, and an endocardium with prominent LV trabeculae and deep intertrabecular recesses that communicates with the ventricular cavity. It has been linked to thromboembolic complications in 5% to 38% of cases, even in young patients, due to possible thrombogenesis in the intertrabecular recesses and association with cardiovascular or coagulation abnormalities, which increase the risk of systemic embolism. Noncompaction of the Left Ventricular Myocardium is considered an underdiagnosed condition. Stroke is one of its main complications, and prophylactic anticoagulation is recommended in patients with LV EF ≤ 40%, history of embolism or transient ischemia, atrial fibrillation and intracardiac thrombi identified in imaging exams.