Non-compact myocardium of the left ventricle: secondary prevention of thromboembolic complications

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Abstract

The main clinical features of left ventricular (NCMLV) are non-compact myocardial heart failure (HF), arrhythmias and thromboembolic complications. Pronounced trabecular and deep inter-trabecular spaces typical of NC, can cause stagnation of blood flow and blood clots in the left ventricular cavity. This article deals with modern aspects of anticoagulant therapy in patients with NC, and describes a clinical case of a man of 54 years with a diagnosis of NCMLV. The patient was admitted with symptoms of severe heart failure and left ventricular thrombosis of multiple complicated with recurrent embolism in the systemic circulation. In the future, when the reduction of self-therapy, the patient suffered repeated thrombosis of the left ventricle with the development of thromboembolic events after popliteal artery and the left brachial artery. All patients with NCMLV as secondary prevention of thromboembolic complications of chronic administration of anticoagulants is recommended. In this case, should be considered for patients with NCMLV, which are also risk factors for thromboembolic events, such as atrial fibrillation or ventricular systolic dysfunction as a primary prevention of thromboembolism anticoagulant therapy.

About the authors

R. P Myasnikov

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

Email: RMyasnikov@gnicpm.ru
канд. мед. наук, науч. сотр. отд. клин. кардиологии и молекулярной генетики ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

O. V Kulikova

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

врач-кардиолог ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

M. S Kharlap

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

канд. мед. наук, ст. науч. сотр. отд. клин. кардиологии и молекулярной генетики ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

S. N Koretskiy

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

канд. мед. наук, врач функциональной диагностики ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

E. Yu Andreenko

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

канд. мед. наук, ст. науч. сотр. отд. клин. кардиологии и молекулярной генетики ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

E. A Mershina

Treatment and Rehabilitation Center of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

канд. мед. наук, зав. отд. томографии ФГАУ Лечебно-реабилитационный центр, доц. каф. лучевой диагностики, лучевой терапии и мед. физики ФГБОУ ДПО РМАНПО 125367, Russian Federation, Moscow, Ivan'kovskoe sh., d. 3; 123995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1

V. E Sinitsyn

Treatment and Rehabilitation Center of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

д-р мед. наук, проф., рук. Центра лучевой диагностики ФГАУ Лечебно-реабилитационный центр, проф. каф. лучевой диагностики, лучевой терапии и мед. физики ФГБОУ ДПО РМАНПО 125367, Russian Federation, Moscow, Ivan'kovskoe sh., d. 3; 123995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1

S. A Boytsov

State Research Center for Preventive Medicine of the Ministry of Health of the Russian Federation

чл.-кор. РАН, д-р мед. наук, проф., дир. ФГБУ ГНИЦ ПМ 101000, Russian Federation, Moscow, Petroverigskii per., d. 10, str. 3

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