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- Title
What can a cryptogenic stroke hide in a young patient?
- Authors
Cepoi, Maria-Ruxandra; Vrabie, Ioana Theodora; Ponor, Cosmina; Nicolae, Ana; Spiridon, Marilena Renata; Petriș, Antoniu Octavian; Costache, Irina Iuliana
- Abstract
Left ventricular hypertrabeculation is a recently described ventricular phenotype characterized by the alternation of excessive trabeculations with deep intertrabecular recesses that communicate with the left ventricular cavity but not with the coronary circulation. We report the case of a young patient, recently diagnosed with ischemic stroke, in whom the cardiological assessment revealed the coexistence of left ventricular hypertrabeculation and dilated cardiomyopathy, which pathologies associated with a high risk of embolic events. The treatment administered followed the therapy for chronic heart failure, control of rhythm disorders that might occur, and the prevention of embolic accidents. The particularity of the case is represented by atypical onset through a complication of the disease in a cardiovascular paucisymptomatic patient. Multimodal imaging corroborated with clinical and anamnestic elements had an essential role in the diagnosis.
- Subjects
ISCHEMIC stroke; CORONARY circulation; DISEASE complications; DILATED cardiomyopathy; CARDIOVASCULAR diseases; HEART failure
- Publication
Romanian Journal of Cardiology, 2023, Vol 33, Issue 4, p161
- ISSN
1220-658X
- Publication type
Article
- DOI
10.2478/rjc-2023-0032