Left Ventricular Noncompaction: A Rare Cause of Heart Failure in a HIV Patient
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 2
Abstract
Background: Heart failure in patients with human immunodeficiency virus (HIV) is often from dilated cardiomyopathy as a result of HIV itself, drug myotoxicity, secondary infections, or drug-induced atherosclerosis. Left ventricular noncompaction (LVNC) is a rare cardiac congenital abnormality which occurs due to early arrest of endomyocardial morphogenesis. Case: A 47- year-old female patient with HIV presented with sudden onset shortness of breath and symptoms of congestive heart failure. Echocardiography showed noncompacted endocardium with reduced left ventricular function. She was subsequently diagnosed with LVNC. Discussion: Multiple etiologies have been implicated in cardiomyopathy among HIV patients. LVNC is a rare cause of left ventricular failure, particularly in this population. Echocardiography plays a pivotal role in the diagnosis. Conclusion: It is often challenging to identify the underlying cause of cardiomyopathy in a patient with HIV. While LVNC is a rare cause of left ventricular failure, typical findings on echocardiography can obviate the need for a more complex evaluative strategy.
Authors and Affiliations
Dane D. Gruenebaum, Jagadeesh K. Kalavakunta, Joel M. Cohn, Heather S. Laird-Fick
Keywords
Related Articles
- EP ID EP348122
- DOI 10.9734/BJMMR/2015/12983
- Views 75
- Downloads 0
Assessing the Influence of Exposure to Violent Living Condition, Knowledge, and Personal Motivation on Human Immunodeficiency Virus Infection Prevention Behavior among Historically Black College Students
Aim: This study assesses the effects of prevention education, prevention personal motivation, prevention knowledge, and past exposure to violent living conditions on human immunodeficiency virus (HIV) infection preventio...
Gemcitabine and Carboplatin in Inoperable, Loco-Regionally Advanced and Metastatic Gallbladder Cancer- A Study from Northern Indian Cancer Institute
Aims: The primary objective of this study was to determine the response rates of the gemcitabine and carboplatin combination chemotherapy in treatment naïve patients with inoperable gall bladder cancer. The secondary obj...
Interconception Health Services for Women at High Risk for Adverse Pregnancy Outcomes: A Descriptive Study
Aims: To describe and present results of preconception care services aimed at underserved women who have experienced an adverse birth outcome. Study Design: Retrospective descriptive study. Place and Duration of Study: S...
Early-Onset Severe Preeclampsia in Nigerian Women: Determining a Balance between Maternal Wellbeing and Fetal Survival in a Resource-Limited Setting
Background: Preeclampsia in Nigerian women is considered to have a rapidly progressive clinical course. Aim: In the present study we sought to determine the most appropriate gestational age (GA) for delivery in severe pr...
Effect of Nurse-led Training on Self-management of Diabetes among Diabetic Patients Attending Medical Outpatient Clinic in General Hospital Odan,
Aims: Diabetes mellitus is a common metabolic disease associated with poor quality of life and great financial burden. Despite training on self-management of diabetes mellitus, its knowledge and practice among diabetic p...