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Article

Non Compaction Cardiomyopathy Masquerading as Asthma: A Case Report

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

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


American Journal of Medical Case Reports. 2017, Vol. 5 No. 10, 256-258
DOI: 10.12691/ajmcr-5-10-1
Copyright © 2017 Science and Education Publishing

Cite this paper:
Bodar VH, Upadhyay A, Singh S, Ullah T, Colasacco JA, 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.

Correspondence to: Bodar  VH, Department of Internal Medicine, Jamaica Hospital Medical Center, Jamaica, NY 11418, USA. Email: v.hbodar@yahoo.com

Abstract

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).

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