Clinical Analysis Of 11 Cases Of Noncompaction Of Ventricular Myocardium And Review Of The Literature

Objective: By recording the clinical features and examination results of the patients with Noncompaction of Ventricular Myocardium,and studing the imaging features of echocardiography and MRI in the diagnosis,to strengthen the understanding of the disease,and provide reference for clinical work.Methods: Observe and study Clinical data of 11 patients with noncompaction of ventricular myocardium,Including chest X-ray or CT examination,ECG and other results,Heart color Doppler ultrasound was performed to observe the affected myocardium,measure the thickness of the myocardium and the thickness of the compacted myocardium at the thickest part of the ventricular systole and ventricular wall,and calculate the ratio.Results: In the study,11 patients had different degrees of cardiac dysfunction,arrhythmia and so on.Abnormal changes of ECG were found in 9 patients,which showed different degrees of atrial and ventricular arrhythmias and bundle branch block;Chest X-ray or CT findings revealed enlargement of the heart in 9 patients,major left to bottom enlargement;Echocardiography was performed in 11 patients,there were 8 cases of typical myocardial compact incomplete ultrasound images and Left ventricular involvement;7 patients,including 3 patients with negative diagnostic color Doppler echocardiography,underwent further cardiac magnetic resonance imaging were suggestived of Noncompaction of Ventricular Myocardium.Due to the small saMagnetic resonance imaging of 1 cases with ventricular aneurysm formation,the high intensity of thrombosismple size,color Doppler ultrasound was not found in patients with myocardial thrombosis.All patients had no other cardiac malformations.Conclusion:The clinical symptoms of the patients with Noncompaction of Ventricular Myocardium are different,and the patients usually suffer from heart failure and arrhythmia,and less embolism occurs.Diagnostic features have their own characteristics,Soft tissue with high resolution cardiac magnetic resonance,can be more clear of noncompaction of ventricular myocardium morphology,and the overall movement of ventricular function,myocardial perfusion and fibrosis degree and range of display,it is also has some clinical effects in the diagnosis of myocardial density insufficiency,echocardiography can be combined with magnetic resonance imaging as the main diagnostic tool for patients.There is a lack of effective treatment.Emphasis on early diagnosis,timely treatment,prevention of complications,and prolong patient life.