Left ventricular non-compaction presenting as cardio-embolic stroke
Andres Martinez
Michael Omar
Fadi Kandah
Jose Ruiz
Ahsan Niazi
摘要：A 39-year-old male with no known comorbidities presented with sudden onset right-sided weakness.On examination, blood pressure was 128/79 mmHg, National Institutes of Health Stroke Scale score was 4 and there were no signs of heart failure.Emergent computerized tomography demonstrated an ischemic infarct of the left middle cerebral artery distribution and brain magnetic resonance imaging later confirmed it (Figure 1).There was no evidence of dysrhythmias on telemetry.Transthoracic echocardiogram revealed prominent trabeculation of the left ventricle (LV) with an ejection fraction (EF) of 25％-30％ (Figure 2).There was severe apical hypokinesis with extensive swirling of contrast in the LV apex.Cardiac magnetic resonance imaging (CMR) delineated a ratio of non-compacted to compacted myocardium of 2.5∶1 (Figure 3).He was managed with oral anticoagulation for secondary stroke prevention and guideline directed medical therapy for heart failure.
机标关键词：
论文发表日期：2020-10-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：2( 645-646 )
英文信息