Zhang Feng-Hua, An Jin-Dou, Feng Song, Zhang Xiao-Jian, Zhao Xiao-Lin
Department of Pediatrics, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2021 Jan;23(1):84-90. doi: 10.7499/j.issn.1008-8830.2007157.
This article summarizes and analyzes the clinical features and gene mutation characteristics of children with noncompaction of the ventricular myocardium (NVM). For the 6 children with NVM (4 boys and 2 girls), the age of onset ranged from 3 months to 12 years. Of the 6 children, 5 had arrhythmia, 3 had cardiac insufficiency, 1 had poor mental state, and 1 had chest distress and sighing. NVM-related gene mutations were detected in 4 children, among whom 2 had gene mutation, 1 had gene mutation, and 1 had mutations in the and genes. Four children had improvement in cardiac function. The two children with no significant improvement in cardiac function had a younger age of onset, a greater reduction in systolic function on echocardiography, and greater increases in myocardial enzyme and N-terminal pro-brain natriuretic peptide. It is concluded that for children with the initial symptoms of chest distress, sighing, arrhythmia, enlarged heart shadow, and increased myocardial enzyme, echocardiography and cardiac magnetic resonance are recommended for the diagnosis of NVM. NVM can have various genetic mutations.
本文总结并分析了儿童心室心肌致密化不全(NVM)的临床特征及基因突变特点。6例NVM患儿(4男2女),发病年龄3个月至12岁。6例患儿中,5例有心律失常,3例有心脏功能不全,1例精神状态差,1例有胸闷叹息。4例患儿检测到NVM相关基因突变,其中2例有 基因突变,1例有 基因突变,1例有 和 基因的突变。4例患儿心脏功能有改善。心脏功能无明显改善的2例患儿发病年龄较小,超声心动图收缩功能降低更明显,心肌酶及N末端脑钠肽前体升高更明显。结论是,对于有胸闷、叹息、心律失常、心影增大及心肌酶升高初始症状的儿童,建议行超声心动图及心脏磁共振检查以诊断NVM。NVM可有多种基因突变。