University of Milan.
Department of Cardiology, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan.
Monaldi Arch Chest Dis. 2020 Aug 3;90(3). doi: 10.4081/monaldi.2020.1280.
Left-ventricular non-compaction (LVNC) is a rare form of cardiomyopathy. Its clinical presentation is highly variable and during pregnancy is frequently associated with heart failure, embolic events, and arrhythmias. Herein we report a case of a woman with left ventricular non-compaction who had an automated defibrillator implantation for recurrent ventricular arrhythmias during pregnancy. During pregnancy and at long-term follow-up no interventions of the device were documented. In conclusion, the management of malignant arrhythmias during pregnancy is one of the concerns for patients with LVNC and requires a careful approach in third-level centers.
左心室致密化不全（LVNC）是一种罕见的心肌病。其临床表现差异很大，在怀孕期间常与心力衰竭、栓塞事件和心律失常有关。本文报告了一例左心室致密化不全的女性患者，她在怀孕期间因反复发作的室性心律失常而植入自动除颤器。在怀孕期间和长期随访中，未记录到该设备的任何干预措施。总之，LVNC 患者在怀孕期间恶性心律失常的管理是关注的焦点之一，需要在三级中心采取谨慎的方法。
