Familial left ventricular noncompaction: phenotypes and clinical course. Results of the multicenter registry

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Abstract

Aim. To analyze and demonstrate various phenotypes in patients with familial left ventricular noncompaction (LVNC).

Materials and methods. In 2013 was created a multicenter registry of LVNC patients. On its basis 30 families with a familial LVNC were selected.

Results. 30 LVNC families were selected from the register. From a total of 115 people (probands and relatives) in 71 (61.7%) LVNC was diagnosed (30 probands and 41 relatives with non-compact myocardial criteria). The most common type of remodeling in patients was the dilated type (DT) (n=30), the isolated LVNC with preserved ejection fraction (EF) was slightly less common (n=23), and the hypertrophic type (GT) was detected in 8 patients. 4 patients were diagnosed with the isolated LVNC with a reduced EF. 3 patients were with a combination of non-compact myocardium with congenital heart disease and with a combination of DT and GT (DT+GT). During the analysis of cases a combination of different phenotypes in the same family was observed. The largest number of families was diagnosed with a combination of DT and the isolated LVNC with preserved EF. The development of cardiovascular complications was associated with DT.

Conclusion. Family cases of LVNC had different types of myocardial remodeling and variants of clinical course. In one family a combination of different types of left ventricular remodeling is possible. DT is associated with the most severe clinical manifestations. The clinical picture of the isolated LVNC with preserved EF, is the most favorable, but in rare cases, serious clinical manifestations were observed.

About the authors

Olga V. Kulikova

National Medical Research Center for Therapy and Preventive Medicine

Author for correspondence.
Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-3138-054X

мл. науч. сотр. отд. клинической кардиологии

Russian Federation, Moscow

Roman P. Myasnikov

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-9024-5364

к.м.н., ст. науч. сотр. отд. клинической кардиологии

Russian Federation, Moscow

Elena A. Mershina

Lomonosov Moscow State University

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-1266-4926

к.м.н., зав. отд-нием рентгенодиагностики

Russian Federation, Moscow

Polina S. Pilus

Lomonosov Moscow State University

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0001-7802-2734

врач-рентгенолог отд-ния рентгенодиагностики

Russian Federation, Moscow

Sergei N. Koretskiy

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0001-6009-5775

к.м.н., ст. науч. сотр. отд. фундаментальных и прикладных аспектов ожирения

Russian Federation, Moscow

Aleksei N. Meshkov

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0001-5989-6233

к.м.н., рук. лаб. молекулярной генетики

Russian Federation, Moscow

Anna V. Kiseleva

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0003-4765-8021

к.б.н., ст. науч. сотр. лаб. молекулярной генетики

Russian Federation, Moscow

Mariia S. Kharlap

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-6855-4857

к.м.н., ст. науч. сотр. отд. нарушений сердечного ритма и проводимости сердца

Russian Federation, Moscow

Valentin E. Sinitsyn

Lomonosov Moscow State University

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-5649-2193

д.м.н., проф.

Russian Federation, Moscow

Nataliia A. Sdvigova

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-5313-1237

врач-педиатр отд-ния кардиологии

Russian Federation, Moscow

Leila A. Gandaeva

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0003-0890-7849

к.м.н., ст. науч. сотр., врач – детский кардиолог

Russian Federation, Moscow

Vladimir I. Barskiy

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0003-1267-1517

к.м.н., ст. науч. сотр. врач-рентгенолог

Russian Federation, Moscow

Yuliia V. Derevnina

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-6394-4020

мл. науч. сотр., врач – детский кардиолог

Russian Federation, Moscow

Olga P. Zharova

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0003-4221-8406

науч. сотр., врач кардиологического отд-ния

Russian Federation, Moscow

Elena N. Basargina

National Medical Research Center for Children’s Health

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-0144-2885

д.м.н., проф., гл. науч. сотр., зав. отд-нием кардиологии

Russian Federation, Moscow

Sergey A. Boytsov

National Medical Research Center of Cardiology

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0001-6998-8406

акад. РАН, д.м.н., проф., ген. дир.

Russian Federation, Moscow

Oksana M. Drapkina

National Medical Research Center for Therapy and Preventive Medicine

Email: olgakulikova2014@mail.ru
ORCID iD: 0000-0002-4453-8430

чл.-кор. РАН, д.м.н., проф., дир.

Russian Federation, Moscow

References

  1. Towbin JA, Lorts A, Jefferies JL. Left ventricular non-compaction cardiomyopathy. Lancet. 2015;386(9995):813-25. doi: 10.1016/S0140-6736(14)61282-4
  2. Grothoff M, Pachowsky M, Hoffmann J, et al. Value of cardiovascular MR in diagnosing left ventricular non-compaction cardiomyopathy and in discriminating between other cardiomyopathies. Eur Radiol. 2012;22(12):2699-709. doi: 10.1007/s00330-012-2554-7
  3. van Waning JI, Moesker J, Heijsman D, et al. Systematic Review of Genotype-Phenotype Correlations in Noncompaction Cardiomyopathy. J Am Heart Assoc. 2019;8(23):e012993. doi: 10.1161/JAHA.119.012993
  4. Мясников Р.П., Щербакова Н.В., Куликова О.В., и др. Мутация гена DES в семье пробанда с миофибриллярной миопатией и развитием некомпактной кардиомиопатии, приведшей к трансплантации сердца. Рос. кардиол. журн. 2017;10:9-16 [Myasnikov RP, Shcherbakova NV, Kulikova ОV, et al. Des gene mutation in a family of proband with myofibrillary myopathy and non-compaction cardiomyopathy, resulted in cardiac transplantation. Russian Journal of Cardiology. 2017;10:9-16 (In Russ.)]. doi: 10.15829/1560-4071-2017-10-9-16
  5. Gati S, Papadakis M, Papamichael ND, et al. Reversible De Novo Left Ventricular Trabeculations in Pregnant Women. Circulation. 2014;130(6):475-83. doi: 10.1161/CIRCULATIONAHA.114.008554
  6. Gati S, Papadakis M, Van Niekerk N, et al. Increased left ventricular trabeculation in individuals with sickle cell anaemia: Physiology or pathology? Int J Cardiol. 2013;168(2):1658-60. doi: 10.1016/j.ijcard.2013.03.039
  7. Gati S, Chandra N, Bennett RL, et al. Increased left ventricular trabeculation in highly trained athletes: do we need more stringent criteria for the diagnosis of left ventricular non-compaction in athletes? Heart. 2013;99(6):401-8. doi: 10.1136/heartjnl-2012-303418
  8. Stöllberger C, Wegner C, Finsterer J. Left ventricular hypertrabeculation/noncompaction, cardiac phenotype, and neuromuscular disorders. Herz. 2019;44(7):659-65. doi: 10.1007/s00059-018-4695-1

Supplementary files

Supplementary Files
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2. Fig. 1. Study design

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3. Fig. 2. Distribution of types of myocardial remodeling in LV NMLV

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4. Fig. 3. Combination of types of myocardial remodeling by families

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5. Fig. 4, a – b - MRI of the heart in the movie mode, SSFP-sequence: a - long axis, four-chamber projection; b - short axis; * NM layer up to 18 mm thick; c – d - delayed contrasting, IR-sequence with suppression of the signal from the myocardium. Arrows indicate extended areas of subepicardial contrasting (non-coronary origin) in the septal and anterolateral segments.

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6. Fig. 5, a – c - MRI of the heart in the movie mode, SSFP-sequence: a - long axis, two-chamber projection; b - long axis, four-chamber projection; в - short axis; * NM layer up to 20-22 mm thick; d – f - delayed contrasting, IR sequence with suppression of the signal from the myocardium. Arrows indicate extensive noncoronary contrasting zones located subepicardially in the myocardium of the anterior and lateral LV walls, in the IVS from the right ventricle, as well as leaks of contrast agent between the trabeculae of the LM.

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