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Complete Atrioventricular Block As the First Manifestation of Noncompaction of the Ventricular Myocardium
Authors:BRUNO RAMOS NASCIMENTO M.D.  DANIEL FURTADO VIDIGAL M.D.  RENATA DE CARVALHO BICALHO CARNEIRO M.D.  WARLEY CRISTIANO DE SOUZA M.D.  WALKIRIA MONTEIRO LOPES M.D.  ANTONIO LUIZ PINHO RIBEIRO PH.D.  E MARIA DO CARMO PEREIRA NUNES PH.D.
Affiliation:1. Servi?o de Cardiologia e Cirurgia Cardiovascular do Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, , Minas Gerais, Brazil;2. Pós‐gradua??o em Clínica Médica/Ciências Aplicadas à Saúde do Adulto—Faculdade de Medicina da Universidade Federal de Minas Gerais, , Belo Horizonte, Minas Gerais, Brazil;3. Acadêmicos de Medicina da Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, , Minas Gerais, Brazil
Abstract:Noncompaction of ventricular myocardium (NVM) is a rare cardiomyopathy, most probably caused by disturbances in embryonic morphogenesis of the myocytes, resulting in prominent trabeculations in the ventricular myocardium. Several diagnostic criteria have been proposed by echocardiography, and its association with other heart diseases is common. Its mortality is closely related to ventricular dysfunction, cardiac arrhythmias, and cardioembolic events. We report here a case of occurrence of atrioventricular block with syncope as the clinical manifestation of NVM. A brief review of the literature on morphological features, diagnosis, prognosis, and treatment will also be discussed.
Keywords:noncompaction  echocardiogram  electrocardiogram  pacing  heart failure
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