American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2017, 5(10), 256-258
DOI: 10.12691/ajmcr-5-10-1
Open AccessCase Report

Non Compaction Cardiomyopathy Masquerading as Asthma: A Case Report

Bodar VH1, , Upadhyay A1, Singh S1, Ullah T1, Colasacco JA2 and Pinsker R1

1Department of Internal Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USA

2Department of Cardiology, Jamaica Hospital Medical Center, Jamaica, NY 11418, USA

Pub. Date: October 14, 2017

Cite this paper:
Bodar VH, Upadhyay A, Singh S, Ullah T, Colasacco JA and Pinsker R. Non Compaction Cardiomyopathy Masquerading as Asthma: A Case Report. American Journal of Medical Case Reports. 2017; 5(10):256-258. doi: 10.12691/ajmcr-5-10-1


Left ventricular non-compaction (LVNC) is a rare form of cardiomyopathy, which leads to progressive heart failure, arrhythmias, and thromboembolic events. Due to variable clinical presentations, it is often misdiagnosed as another cardiomyopathy or asthma. Here we report a case of 50 year-old-male who had multiple emergency room visits for shortness of breath (SOB) which were treated acutely with bronchodilators for presumptive asthma exacerbations. Subsequently, a 2D, color flow transthoracic echocardiogram was performed, which revealed the presence of dilated cardiomyopathy, and a low LV ejection fraction. In addition, left ventricular trabeculation was greater than that anticipated, with prominent inter trabecular recesses, supporting the diagnosis of LVNC. A family history of early onset heart failure was present. This case is presented to help physicians consider non-compaction cardiomyopathy as an etiology in patients who present with SOB and low ejection fraction (EF).

cardiomyopathy non-compaction dyspnea SOB

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