DIAGNOSIS OF MYOCARDIAL NON-COMPACTION IN PAEDIATRRIC PATIENTS. TYPICAL AND DIFFICULT CASES
Left ventricular myocardium non-compact is a rare disease and is caused by disturbance of seals myocardial structure. The cause may be a different disease, but in most cases, the etiology is unknown. Clinical manifestations and severity of the patient often does not correlate with the severity of the changes. Therefore, the currently available diagnostic criteria seem to be very unreliable and controversial. The article describes the typical case of non infarction, and difficult to diagnose and controversial cases by echocardiogram, MRI, CT and ventriculography. Typical cases of non-compact myocardium is not too difficult. At the same time, some features may be quite difficult to diagnose only by echocardiogram and require the use of MRI. In addition, there are individual cases with primary involvement in the process of the right heart, and certain changes in the anatomy of the heart with cardiomyopathy may be misinterpreted as increased trabecular. Separate and very interesting is the question of clinical symptoms, the need for treatment and the criteria for the diagnosis of non-compact myocardium.