Chronic cardiac failure with non-compact cardiomyopathy in a middle-aged woman


Authors: J. Leso 1;  T. Paleček 2
Authors‘ workplace: Kardiologická ordinace, Městská nemocnice následné péče, Praha 1;  II. Interní klinika kardiologie a angiologie, Všeobecná fakultní nemocnice, 1. LF UK Praha 2
Published in: Kardiol Rev Int Med 2011, 13(3): 193-197
Category: Case Report

Overview

The authors present a case report of a female patient who was monitored for a period of 11 years from the “innocent“ beginnings until the clear morphological manifestation of a left ventricular non-compaction cardiomyopathy with systolic dysfunction, which was preceded by a working diagnosis of idiopathic dilated cardiomyopathy. The unfavourable development of chronic cardiac failure was reversed by decreasing the heart rate using ivabradine.

Keywords:
chronic heart failure – non-compaction cardiomyopathy – heart rate – ivabradine


Sources

1. Kantor PF, Lucien A, Kozak R et al. The antianginal drug trimetazidine shifts cardiac energy metabolism from fatty acid oxidation to glucose oxidation by inhibiting mitochondrial long-chain 3-ketoacyl coenzyme A thiolase. Circ Res 2000; 86: 580–588.

2. Pharmakokinetics of ivabradine. Summary of Product Characteristic. London, UK: EMEA, October 25, 2005.

3. Mulder O, Barbier S, Chagraoui A et al. Long-term heart rate reduction induced by the selective I(f) current inhibitor ivabradine improves left ventricle function and intrinsic myocardial structure in congestive heart failure. Circulation 2004; 109: 1674–1679.

4. Ganame J, Ayres NA, Pignateli RH. Left ventricular noncompaction, a recently recognized form of cardiomyopathy. Insuf Cardiaca 2006; 3: 119–124.

5. Sarma RJ, Chana A, Elkayam U. Left ventricular noncompaction. Prog Cardiovasc Dis 2010; 52: 264–273.

6. Wikstrand J, Hjalmarson A, Waagstein F et al. MERIT-HF Study Group. Dose of metoprolol CR/XL and clinical outcome in patiens with heart failure: analysis of the experience in metoprolol CR/XL randomized intervention trial in chronic heart failure (MERIT-HF). J Am Coll Cardiol 2002; 40: 491–498.

7. Lechat P, Hulot JS, Escolano S et al. Heart rate and cardiac rythm relationships with bisoprolol benefit in chronic heart failure in CIBIS II Trial. Circulation 2001; 103: 1428–1433.

8. Packe M, Bristol MR, Cohn JN et al. The effect of carvedilol on morbidity and mortality in patients with chronic heart failure. U.S. Carvedilol Heart Failure Study Group. N Engl J Med 1996; 334: 1349–1355.

9. DiFrancesco D. If current inhibitors: properties of drug-channel interaction. In: Fox K (ed.). Selective and specific If channel inhibition in cardiology. London, UK: Science Press 2004: 1–13.

10. Colin P, Ghaleh B, Monnet X et al. Contributions of heart rate and contractility to myocardial oxygen balance during exercise. Am J Physiol Heart Circ Physiol 2003; 284: H676–H682.

11. Jondeau G, Korewicki J, Vasiliauskas D. Effect of ivabradine in patiens with left ventricular systolic dysfunction and coronary heart disease. Eur Heart J 2004; 25 (Suppl): 451.

12. Jondeau G, Bohm M, Tavazzi L et al. Hemodynamic effect of ivabradin, a pure heart rate lowering agent, in patiens with severe systolic chronic heart failure receiving betablockers. Eur J Heart Failure Suppl 2008; 7 (Suppl 1).

13. Cerbai E, Pino R, Porciatti F et al. Characterization of repolarization-activated current, I(f), in ventricular myocytes from human failing heart. Circulation 1997; 95: 568–571.

14. Swedberg K, Komajda M, Böhm M et al. SHIFT Investigators. Ivabradine and outcomes in chronic heart failure (SHIFT): a randomised placebo-controlled study. Lancet 2010; 376: 875–885.

15. Böhm M, Swedberg K, Komajda M et al. SHIFT Investigators. Heart rate as a risk factor in chronic heart failure (SHIFT): the associaton between heart rate and outcomes in a randomised placebo-controlled trial. Lancet 2010; 376: 886–894.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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