Open AccessWearable Cardioverter‐Defibrillator in a Patient with Left Ventricular Noncompaction/Hypertrabeculation, Coronary Artery Disease, and Polyneuropathy
Author(s) -
Stöllberger Claudia,
Finsterer Josef
Publication year - 2015
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12155
Subject(s) - medicine , cardiology , left ventricular noncompaction , implantable cardioverter defibrillator , coronary artery disease , ejection fraction , ventricle , cardiac resynchronization therapy , cardiomyopathy , polyneuropathy , heart failure
A 55‐year‐old Caucasian male with coronary heart disease was admitted because of dyspnea for 4 weeks. Echocardiography showed a dilated left ventricle with an ejection fraction of 34% and apical left ventricular hypertrabeculation/noncompaction with an apical thrombus. Neurologic examination revealed positional tremor and generally reduced tendon reflexes. During 8 weeks, his condition improved under pharmacotherapy. The patient was skeptical about implantable cardioverter‐defibrillator (ICD) and expected further improvement from pharmacotherapy. Thus, he received a wearable cardioverter‐defibrillator (WCD). We conclude that a WCD might be useful in noncompaction patients in whom improvement of systolic dysfunction is expected or who are skeptical about ICDs.