Chebrolu Lakshmi H, Mehta Anjlee M, Nanda Navin C
Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX, USA.
Division of Cardiology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Echocardiography. 2017 Feb;34(2):279-289. doi: 10.1111/echo.13435. Epub 2017 Jan 6.
Noncompaction cardiomyopathy (NCCM) is a unique cardiomyopathy with a diverse array of genotypic and phenotypic manifestations. Its hallmark morphology consists of a bilayered myocardium with a compact epicardial layer and prominent trabeculations that comprise the noncompacted endocardial layer. The controversial diagnostic criteria for NCCM have been frequently discussed in the literature. This review touches on those diagnostic criteria, delves further into the evolving use of advanced imaging techniques within the major imaging modalities (echocardiography, computed tomography, and cardiac magnetic resonance imaging), and proposes an alternative algorithm incorporating these techniques for aiding with the diagnosis of NCCM.
非致密化心肌病(NCCM)是一种独特的心肌病,具有多种基因型和表型表现。其标志性形态包括双层心肌,外层为致密的心外膜层,内层为突出的小梁结构组成的非致密化心内膜层。关于NCCM的争议性诊断标准在文献中经常被讨论。本综述涉及这些诊断标准,进一步深入探讨主要成像模态(超声心动图、计算机断层扫描和心脏磁共振成像)中先进成像技术的不断发展的应用,并提出一种纳入这些技术的替代算法,以辅助NCCM的诊断。