Non-compaction cardiomyopathy, Becker muscular dystrophy, neuropathy and recurrent syncope

We present the case of a 50-year-old man presenting with new heart failure symptoms. He had no evidence of any ischaemic cardiomyopathy, however, further cardiac imaging showed a left ventricular non-compaction cardiomyopathy. He was noted to have muscular weakness and an exhaustive search for assoc...

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Bibliographic Details
Published in:BMJ case reports 2021-11, Vol.14 (11), p.e244745
Main Authors: Shah, Love, Tam, Ingrid, Nosib, Shravan
Format: Article
Language:English
Subjects:
Biopsy
Cardiomyopathies - diagnosis
Cardiomyopathies - diagnostic imaging
Cardiomyopathy
Cardiovascular disease
Case Report
Case reports
Dyspnea
Heart Failure
Heart Ventricles
Humans
Ischemia
Male
Middle Aged
Muscular dystrophy
Muscular Dystrophy, Duchenne - complications
Muscular Dystrophy, Duchenne - diagnosis
Musculoskeletal system
Syncope
Ultrasonic imaging
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Description
Summary:We present the case of a 50-year-old man presenting with new heart failure symptoms. He had no evidence of any ischaemic cardiomyopathy, however, further cardiac imaging showed a left ventricular non-compaction cardiomyopathy. He was noted to have muscular weakness and an exhaustive search for associated comorbidities yielded a diagnosis of Becker muscular dystrophy. In this report, we review the pathophysiology, comorbidities and diagnostic workup in patients presenting with left ventricular non-compaction in the context of dystrophinopathy. Ultimately, we suggest the consideration of rare cardiomyopathies in all patients presenting with neuromuscular syndromes and vice versa.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2021-244745