Случай диагностики и лечения кардиомиопатии «некомпактный миокард» с применением имплантированного кардиовертера-дефибриллятора

The article presents a case of non-compact myocardium primary diagnosis of a woman of 45 years, who has complained of general weakness, pain in the heart and interruptions in its work, shortness of breath and dizziness from her youth. A peculiarity of this case is that the patient was initially examined locally and diagnosed with rheumatic heart disease and then with ischemic heart disease. However, the age at which the disease made its debut, the characteristics of pain in the heart, the severity of symptoms of arrhythmia and heart failure, no changes of blood lipid spectrum and other signs of atherosclerosis raised doubts about the presence of angina. Since the clinical syndromes showed a marked violation of all basic functions of the heart muscle, differential diagnostics with diffuse myocarditis was performed, which led to the latter’s exclusion. During ECHO CT followed by transesophageal ECHO at the Academy’s Cardiac Surgery Department, primary “non-compact myocardium” cardiomyopathy was diagnosed. Provided the patient’s complex arrhythmias, a cardioverter-defibrillator with a pacemaker function was implanted and her health significantly improved. Received 9 August 2016. Accepted 28 September 2016. Funding: The study has not been sponsored or awarded a grant. Conflict of interest: The authors declare no conflict of interest.