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Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder

Left ventricular noncompaction (LVNC) is a rare congenital condition defined by the presence of prominent trabeculations in the myocardial layer of the left ventricle. The clinical presentation is varied as some patients are asymptomatic and others have symptoms of decompensated heart failure, arrhy...

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Autores principales: Chirumamilla, Yashitha, Chakrala, Nihara, Marcus, Huda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577609/
https://www.ncbi.nlm.nih.gov/pubmed/37849596
http://dx.doi.org/10.7759/cureus.45366
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author Chirumamilla, Yashitha
Chakrala, Nihara
Marcus, Huda
author_facet Chirumamilla, Yashitha
Chakrala, Nihara
Marcus, Huda
author_sort Chirumamilla, Yashitha
collection PubMed
description Left ventricular noncompaction (LVNC) is a rare congenital condition defined by the presence of prominent trabeculations in the myocardial layer of the left ventricle. The clinical presentation is varied as some patients are asymptomatic and others have symptoms of decompensated heart failure, arrhythmias, or thromboembolism. We present the case of a 42-year-old female with a past medical history of asthma and substance use disorder who presented to the Emergency Department following a syncopal event. The patient had used heroin intranasally, following which she became unresponsive for several minutes. Her husband witnessed the event and initiated chest compressions. When examined by emergency medical services (EMS), she had a palpable pulse and was given naloxone. The patient underwent further evaluation and was admitted for the treatment of aspiration pneumonia. Throughout her hospital stay, she complained of chest pain with musculoskeletal characteristics, likely secondary to chest compressions. However, due to the persistence of pain, she had further cardiac evaluation done. Her electrocardiography (EKG) revealed a normal sinus rhythm with no acute ischemic changes. Her echocardiography revealed left ventricular apical trabeculations with normal systolic and diastolic function, in line with the diagnosis of LVNC. Upon discharge, she was extensively counseled to abstain from substance use and to follow up with cardiology for a cardiac event monitor. Given her initial syncopal event and high-risk substance use behavior, she would benefit from close follow-up for the presence of arrhythmias.
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spelling pubmed-105776092023-10-17 Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder Chirumamilla, Yashitha Chakrala, Nihara Marcus, Huda Cureus Cardiology Left ventricular noncompaction (LVNC) is a rare congenital condition defined by the presence of prominent trabeculations in the myocardial layer of the left ventricle. The clinical presentation is varied as some patients are asymptomatic and others have symptoms of decompensated heart failure, arrhythmias, or thromboembolism. We present the case of a 42-year-old female with a past medical history of asthma and substance use disorder who presented to the Emergency Department following a syncopal event. The patient had used heroin intranasally, following which she became unresponsive for several minutes. Her husband witnessed the event and initiated chest compressions. When examined by emergency medical services (EMS), she had a palpable pulse and was given naloxone. The patient underwent further evaluation and was admitted for the treatment of aspiration pneumonia. Throughout her hospital stay, she complained of chest pain with musculoskeletal characteristics, likely secondary to chest compressions. However, due to the persistence of pain, she had further cardiac evaluation done. Her electrocardiography (EKG) revealed a normal sinus rhythm with no acute ischemic changes. Her echocardiography revealed left ventricular apical trabeculations with normal systolic and diastolic function, in line with the diagnosis of LVNC. Upon discharge, she was extensively counseled to abstain from substance use and to follow up with cardiology for a cardiac event monitor. Given her initial syncopal event and high-risk substance use behavior, she would benefit from close follow-up for the presence of arrhythmias. Cureus 2023-09-16 /pmc/articles/PMC10577609/ /pubmed/37849596 http://dx.doi.org/10.7759/cureus.45366 Text en Copyright © 2023, Chirumamilla et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Chirumamilla, Yashitha
Chakrala, Nihara
Marcus, Huda
Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title_full Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title_fullStr Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title_full_unstemmed Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title_short Left Ventricular Noncompaction in Concomitance With Heroin Use Disorder
title_sort left ventricular noncompaction in concomitance with heroin use disorder
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577609/
https://www.ncbi.nlm.nih.gov/pubmed/37849596
http://dx.doi.org/10.7759/cureus.45366
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