A Poor Consequence Led by Left Ventricular Non-compaction: A Case Report and Review of Literature
Chenjun Zhang,
Jiahong Xu
Issue:
Volume 6, Issue 3, September 2022
Pages:
81-85
Received:
16 April 2022
Accepted:
27 September 2022
Published:
11 October 2022
DOI:
10.11648/j.ccr.20220603.11
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Abstract: Left ventricular non-compaction cardiomyopathy (LVNC) has anatomic characters of prominent left ventricular trabeculation and deep recesses and relatively thiner compacted layer which can lead to structurally and functionally abnormal of heart muscle. Its pathogenesis predominantly be primary cardiomyopathy and also can be results of drug toxicity or response to acquired triggers. Our case is a 27 years old man who had appeared symptoms including dyspnea and palpitation caused by exertion about ten years and been found with atrial septal defect but had not performed intervention. Then he was admitted because of aggravation of symptoms and been diagnosed left ventricular non compaction after finished echocardiography. Afterwards because of symptomatic bradycardia he had pacemaker implantation, but three months later he died of decompensated acute heart failure. LVNC has variable clinical manifestations including heart failure, thromboembolic events, ventricular arrhythmias and heart failure and the diagnosis of LVNC depends on echocardiography and Cardiac magnetic resonance mainly. Its mortality and morbidity are high and its classification as a specific cardiomyopathy be more appropriate. Therapy of end stage myocardial failure dependes on heart transplantation. Implanted cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRTD) is the key method to prevent from sudden death. Risk stratification includes heart failure therapy, oral anticoagulation, heart transplantation and implantation of an automated defibrillator/cardioverter.
Abstract: Left ventricular non-compaction cardiomyopathy (LVNC) has anatomic characters of prominent left ventricular trabeculation and deep recesses and relatively thiner compacted layer which can lead to structurally and functionally abnormal of heart muscle. Its pathogenesis predominantly be primary cardiomyopathy and also can be results of drug toxicity ...
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A Comparative Cohort Study of Cardiac Outcomes in Outpatients Cared for over the Telephone Versus in-Person During the COVID-19 Pandemic
Liane Stein,
Hallie Rebecca Benjamin,
Daniel Goldshtein,
David Newman
Issue:
Volume 6, Issue 3, September 2022
Pages:
86-91
Received:
8 September 2022
Accepted:
26 September 2022
Published:
11 October 2022
DOI:
10.11648/j.ccr.20220603.12
Downloads:
Views:
Abstract: To slow the spread of coronavirus-2019, many healthcare providers in Canada transitioned to tele-health in order to treat patients and minimize office visits. We investigated if the type of patient-physician encounter: in-person versus tele-health phone consultation, has an impact on cardiovascular outcome in an outpatient cardiac clinic in Toronto, Ontario. We conducted a comparative cohort study between patients seen in the office and patients who spoke to the physician by phone. Demographic data was collected on both groups regarding, age, symptoms, and cardiac diagnoses. Both sets of patients underwent physiological testing prior to meeting with the physician. Outcome measures included unplanned phone calls or visits, procedures, hospitalizations, and death. Results: 47 patients were seen in the office and 50 patients were seen via tele-health phone consultation. Patients were all non-selected sequential. Metrics of demographic data did not differ between groups regarding age, sex, symptoms (palpitations, dyspnea, syncope, chest pain), and diagnoses (arrythmia, coronary artery disease, devices, valve, heart failure, or cardiomyopathy. Odds ratio (OR) was calculated to compare outcome measures. Unplanned phone calls or visits (OR 1.61, CI 0.72, 3.61), procedures (OR 0.94, CI 0.13, 6.95), hospitalization (OR 0.93, CI 0.03, 2.89), and mortality (OR 0.46, CI 0.04, 5.25). We conclude that cardiovascular outcomes assessed did not differ by type of physician encounter. Both groups saw similar rates of physician intervention and changes to treatment plan. Further research into implications of tele-health on physician and patient satisfaction are needed.
Abstract: To slow the spread of coronavirus-2019, many healthcare providers in Canada transitioned to tele-health in order to treat patients and minimize office visits. We investigated if the type of patient-physician encounter: in-person versus tele-health phone consultation, has an impact on cardiovascular outcome in an outpatient cardiac clinic in Toronto...
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