Primary diagnosis of dilated cardiomyopathy in combination with myocardial non-compaction in an elderly patient: a case report

The classifications of the World Health Organization, European Society Car­-diology and American Heart Association indicate existence several pheno­types myocardial non-compaction (MnC) with specific structural func­tional abnormalities. MnC+dilated cardiomyopathy (DCM) phenotype is considered one most severe variants. Disputes continue about whether to regard MnC as an independent disease or a consequence DCM heart failure. In other words, remains mysterious diseases. As illustration MnC+DCM phenotype, authors offer case patient cardiovascular from her youth, but maintained satisfactory state health performance until old age. Symptoms arrhythmia failure massive pericardial effusion were first described in at age 66, which uncharacteristic for this phenotype. Attention drawn difficulties differential diagnosis due non-specificity clinical performance, role echocardiography recognition predictors its unfavorable outcome. fact that patient, even when typical signs detected during echocardiography, initially had coronary artery main diagnosis, indicates relevance publishing another report on rare pathology order improve awareness cardiologists general practitioners.