Correlation of Non-Compact Myocardial Layer Characteristics With the Risk of Death and Thrombotic Complications in Dilated Phenotype of Non-Compact Myocardium in Children: Cohort Study Results

• Main Authors: M. K. Umarova (Author), Ye. N. Basargina (Author), I. V. Silnova (Author)
• Format: Book
• Published: "Paediatrician" Publishers LLC, 2016-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1682-5527; 1682-5535; 10.15690/vsp.v15i2.1534
• Keywords: children; non-compact myocardium; dilated cardiomyopathy; fatal outcome; thromboembolic complications; Pediatrics; RJ1-570
• Source: Вопросы современной педиатрии, Vol 15, Iss 2, Pp 161-167 (2016)

Background: Non-compact myocardium is a form of cardiomyopathy, which is characterized by an abnormal trabecular (non-compact) layer of the ventricular myocardium. The correlation between the severity of a non-compact myocardial layer and peculiarities of course and outcome of the disease remains unclear.Objective: Our aim was to examine the relationship of the ratio value of the non-compact and compact myocardial layer (NC/C) thickness, as well as of the number of non-compact segments of the left ventricle (LV) of the heart with the risk of death and thrombotic complications in children with dilated phenotype of non-compact myocardium.Methods: The results of a prospective cohort study, which included children hospitalized to a specialized hospital from October 2011 to May 2015, are presented. The presence of non-compact myocardium was established on the basis of echocardiography results.Results: The study included 48 children with non-compact myocardium and LV myocardium remodelling on the dilatation phenotype. Fatal outcome in 19 (8; 61) months from the date of detection of heart changes occurred in 11 (23%) cases. The development of thrombotic complications (cardioembolism, intravascular thrombosis before or during the observation) is recorded in 8 (17%) children. The risk of death and thrombotic complications did not depend on the NC/C value and the number of non-compact LV segments.Conclusion: The value of the ratio of NC/C and the number of non-compact LV myocardial segments does not allow to predict the course of the disease in children with dilated phenotype of non-compact myocardium in relation to the development of thrombotic complications and occurrence of fatal outcome.