THE CLINICAL AND ECHOCARDIOGRAPHIC ANALYSIS OF NONCOMPACTION CARDIOMYOPATHY IN MISDIAGNOSIS AND MISSED DIAGNOSIS
https://doi.org/10.15829/1560-4071-2014-7-eng-34-41
Abstract
Aim. Echocardiography has become the main mean in detection of noncompaction cardiomyopathy (NCC). However, misdiagnosis and missed diagnosis were common. The aim of this paper was to analyze the misdiagnosis and missed diagnosis of NCC, improve the diagnostic accuracy of this disease.
Material and methods. We retrospectively analyzed the data of 56 subjects who had been clinically diagnosed with NCC in our institution, which included patients’ total echocardiographic data since the disease onset. Echocardiographic data and cardiac magnetic resonance (CMR) data were compared with each other.
Results. 17 of the total subjects had been diagnosed with NCC after the first echocardiography at our institution. 39 subjects had not been diagnosed correctly until several times checking of echocardiography. 28 of them had been misdiagnosed as dilated cardiomyopathy (DCM) in local hospitals. All but 2 subjects were inconsistent between echocardiography measurement and CMR. The ratio of N/C was 2,63±0,49 by CMR, and 2,55±0,43 by echocardiography.
Conclusion. Echocardiography can be the first choice of NCC assessment for its advantages of being non-radiative, real-time, economic and characteristic. When the echocardiographic image is not typical in the early stage of NCC, a combination with CMR is necessary.
About the Authors
Yanna Liu
Department of Ultrasonics, the Second Affiliated Hospital of Nanchang University
China
China
Professor (M.D.),
No. 1, Minde Road, Nanchang, Postal code: 330006
Qinghua Wu
Department of Cardiology, the Second Affiliated Hospital of Nanchang
University
China
Nanchang
China
Nanchang
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Review
For citations:
Liu Ya., Wu Q. THE CLINICAL AND ECHOCARDIOGRAPHIC ANALYSIS OF NONCOMPACTION CARDIOMYOPATHY IN MISDIAGNOSIS AND MISSED DIAGNOSIS. Russian Journal of Cardiology. 2014;(7-eng):34-41. https://doi.org/10.15829/1560-4071-2014-7-eng-34-41
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