Skip to main content

Long-term Prognosis and Management of Noncompaction Cardiomyopathy

  • Chapter
  • First Online:
Noncompaction Cardiomyopathy

Abstract

Currently NCCM is viewed as a primary cardiomyopathy, with mostly autosomal dominant inheritance pattern [1]. The clinical presentation varies from asymptomatic to supra-ventricular arrhythmias, severe heart failure (HF), malignant ventricular arrhythmias, and thromboembolic events [2, 3]. Since the first report by Engberding and Bender in 1984 of a case of a 33 years old women with heart failure and palpitations and later in 1990 case series of 8 patients by Chin et al., there is increasing amounts of publications and more awareness among clinicians. But the majority of these are small series of cases or solely case reports with high incidence of adverse cardiac events, probably reflecting the biased patient selection in tertiary referral centers. Therefore, the long-term prognosis remains conflicting and inconsistent. In this chapter, we report our single center experience with excellent long-term survival in patients without heart failure in the modern heart failure treatment area with individualized drug treatment and, in selected patients, ICD implantation for primary or secondary prophylaxes of sudden cardiac death [4, 5]. We also provide an overview of the most up-to-date prognosis studies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, Arnett D, Moss AJ, Seidman CE, Young JB, American Heart Association, Council on Clinical Cardiology, Heart Failure and Transplantation Committee, Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups, Council on Epidemiology and Prevention. Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention. Circulation. 2006;113:1807–16.

    Article  Google Scholar 

  2. Oechslin EN, Attenhofer Jost CH, Rojas JR, Kaufmann PA, Jenni R. Long-term follow-up of 34 adults with isolated left ventricular noncompaction: a distinct cardiomyopathy with poor prognosis. J Am Coll Cardiol. 2000;36:493–500.

    Article  CAS  Google Scholar 

  3. Murphy RT, Thaman R, Blanes JG, Ward D, Sevdalis E, Papra E, Kiotsekoglou A, Tome MT, Pellerin D, McKenna WJ, Elliott PM. Natural history and familial characteristics of isolated left ventricular non-compaction. Eur Heart J. 2005;26:187–92.

    Article  Google Scholar 

  4. Heart Failure Society of America, Lindenfeld J, Albert NM, Boehmer JP, Collins SP, Ezekowitz JA, Givertz MM, Katz SD, Klapholz M, Moser DK, Rogers JG, Starling RC, Stevenson WG, Tang WH, Teerlink JR, Walsh MN. HFSA 2010 comprehensive heart failure practice guideline. J Card Fail. 2010;16:e1–194.

    Article  Google Scholar 

  5. Caliskan K, Szili-Torok T, Theuns DA, Kardos A, Geleijnse ML, Balk AH, van Domburg RT, Jordaens L, Simoons ML. Indications and outcome of implantable cardioverter-defibrillators for primary and secondary prophylaxis in patients with noncompaction cardiomyopathy. J Cardiovasc Electrophysiol. 2011;22:898–904.

    Article  Google Scholar 

  6. Ichida F, Hamamichi Y, Miyawaki T, Ono Y, Kamiya T, Akagi T, Hamada H, Hirose O, Isobe T, Yamada K, Kurotobi S, Mito H, Miyake T, Murakami Y, Nishi T, Shinohara M, Seguchi M, Tashiro S, Tomimatsu H. Clinical features of isolated noncompaction of the ventricular myocardium: long-term clinical course, hemodynamic properties, and genetic background. J Am Coll Cardiol. 1999;34:233–40.

    Article  CAS  Google Scholar 

  7. Jenni R, Oechslin E, Schneider J, Attenhofer Jost C, Kaufmann PA. Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart. 2001;86:666–71.

    Article  CAS  Google Scholar 

  8. Oechslin E, Jenni R. Left ventricular non-compaction revisited: a distinct phenotype with genetic heterogeneity? Eur Heart J. 2011;32:1446–56.

    Article  Google Scholar 

  9. Aras D, Tufekcioglu O, Ergun K, Ozeke O, Yildiz A, Topaloglu S, Deveci B, Sahin O, Kisacik HL, Korkmaz S. Clinical features of isolated ventricular noncompaction in adults long-term clinical course, echocardiographic properties, and predictors of left ventricular failure. J Card Fail. 2006;12:726–33.

    Article  Google Scholar 

  10. Habib G, Charron P, Eicher JC, Giorgi R, Donal E, Laperche T, Boulmier D, Pascal C, Logeart D, Jondeau G, Cohen-Solal A, Working Groups ‘Heart Failure and Cardiomyopathies’ and ‘Echocardiography’ of the French Society of Cardiology. Isolated left ventricular non-compaction in adults: clinical and echocardiographic features in 105 patients. Results from a French registry. Eur J Heart Fail. 2011;13:177–85.

    Article  Google Scholar 

  11. Oechslin EN, Attenhofer Jost CH, Jenni R. Examination of isolated ventricular noncompaction (hypertrabeculation) as a distinct entity in adults. Am J Cardiol. 2012;109:776–7.

    Article  Google Scholar 

  12. Wang C, Takasaki A, Watanabe Ozawa S, Nakaoka H, Okabe M, Miyao N, Saito K, Ibuki K, Hirono K, Yoshimura N, Yu X, Ichida F. Long-term prognosis of patients with left ventricular noncompaction- comparison between infantile and juvenile types. Circ J. 2017;81:694–700.

    Article  Google Scholar 

  13. Towbin JA, Jefferies JL. Cardiomyopathies due to left ventricular noncompaction, mitochondrial and storage diseases, and inborn errors of metabolism. Circ Res. 2017;121:838–54.

    Article  CAS  Google Scholar 

  14. Engberding R, Bender F. Identification of a rare congenital anomaly of the myocardium by two-dimensional echocardiography: persistence of isolated myocardial sinusoids. Am J Cardiol. 1984;53:1733–4.

    Article  CAS  Google Scholar 

  15. Chin TK, Perloff JK, Williams RG, Jue K, Mohrmann R. Isolated noncompaction of left ventricular myocardium. A study of eight cases. Circulation. 1990;82:507–13.

    Article  CAS  Google Scholar 

  16. Stollberger C, Finsterer J, Blazek G. Left ventricular hypertrabeculation/noncompaction and association with additional cardiac abnormalities and neuromuscular disorders. Am J Cardiol. 2002;90:899–902.

    Article  Google Scholar 

  17. Arenas IA, Mihos CG, DeFaria Yeh D, Yucel E, Elmahdy HM, Santana O. Echocardiographic and clinical markers of left ventricular ejection fraction and moderate or greater systolic dysfunction in left ventricular noncompaction cardiomyopathy. Echocardiography. 2018;35(7):941–8.

    Article  Google Scholar 

  18. Stollberger C, Gerger D, Jirak P, Wegner C, Finsterer J. Evolution of electrocardiographic abnormalities in association with neuromuscular disorders and survival in left ventricular hypertrabeculation/noncompaction. Ann Noninvasive Electrocardiol. 2014;19:567–73.

    Article  Google Scholar 

  19. van Waning JI, Caliskan K, Hoedemaekers YM, van Spaendonck-Zwarts KY, Baas AF, Boekholdt SM, van Melle JP, Teske AJ, Asselbergs FW, Backx A, du Marchie Sarvaas GJ, Dalinghaus M, Breur J, Linschoten MPM, Verlooij LA, Kardys I, Dooijes D, Lekanne Deprez RH, AS IJ, van den Berg MP, Hofstra RMW, van Slegtenhorst MA, Jongbloed JDH, Majoor-Krakauer D. Genetics, clinical features, and long-term outcome of noncompaction cardiomyopathy. J Am Coll Cardiol. 2018;71:711–22.

    Article  Google Scholar 

  20. Muser D, Nucifora G, Gianfagna E, Pavoni D, Rebellato L, Facchin D, Daleffe E, Proclemer A. Clinical spectrum of isolated left ventricular noncompaction: thromboembolic events, malignant left ventricular arrhythmias, and refractory heart failure. J Am Coll Cardiol. 2014;63:e39.

    Article  Google Scholar 

  21. Tian T, Liu Y, Gao L, Wang J, Sun K, Zou Y, Wang L, Zhang L, Li Y, Xiao Y, Song L, Zhou X. Isolated left ventricular noncompaction: clinical profile and prognosis in 106 adult patients. Heart Vessel. 2013;29:645–52.

    Article  Google Scholar 

  22. Stöllberger C, Blazek G, Gessner M, Bichler K, Wegner C, Finsterer J. Neuromuscular comorbidity, heart failure, and atrial fibrillation as prognostic factors in left ventricular hypertrabeculation/noncompaction. Herz. 2015;40:906–11.

    Article  Google Scholar 

  23. Steffel J, Hürlimann D, Namdar M, Despotovic D, Kobza R, Wolber T, Holzmeister J, Haegeli L, Brunckhorst C, Lüscher TF, Jenni R, Duru F. Long-term follow-up of patients with isolated left ventricular noncompaction: role of electrocardiography in predicting poor outcome. Circ J. 2011;75:1728–34.

    Article  Google Scholar 

  24. Stämpfli SF, Erhart L, Hagenbuch N, Stähli BE, Gruner C, Greutmann M, Niemann M, Kaufmann BA, Jenni R, Held L, Tanner FC. Prognostic power of NT-proBNP in left ventricular non-compaction cardiomyopathy. Int J Cardiol. 2017;236:321–7.

    Article  Google Scholar 

  25. Asfalou I, Boulaamayl S, Raissouni M, Mouine N, Sabry M, Kheyi J, Doghmi N, Benyass A. Left ventricular noncompaction—a rare form of cardiomyopathy: revelation modes and predictors of mortality in adults through 23 cases. J Saudi Heart Assoc. 2017;29:102–9.

    Article  Google Scholar 

  26. Lofiego C, Biagini E, Pasquale F, Ferlito M, Rocchi G, Perugini E, Bacchi-Reggiani L, Boriani G, Leone O, Caliskan K, ten Cate FJ, Picchio FM, Branzi A, Rapezzi C. Wide spectrum of presentation and variable outcomes of isolated left ventricular non-compaction. Heart. 2007;93:65–71.

    Article  CAS  Google Scholar 

  27. Zuckerman WA, Richmond ME, Singh RK, Carroll SJ, Starc TJ, Addonizio LJ. Left-ventricular noncompaction in a pediatric population: predictors of survival. Pediatr Cardiol. 2011;32:406–12.

    PubMed  Google Scholar 

  28. Shi WY, Moreno-Betancur M, Nugent AW, Cheung M, Colan S, Turner C, Sholler GF, Robertson T, Justo R, Bullock A, King I, Davis AM, Daubeney PEF, Weintraub RG, National Australian Childhood Cardiomyopathy Study. Long-term outcomes of childhood left ventricular non-compaction cardiomyopathy: results from a national population-based study. Circulation. 2018;138(4):367–76.

    Article  Google Scholar 

  29. Li S, Zhang C, Liu N, Bai H, Hou C, Wang J, Song L, Pu J. Genotype-positive status is associated with poor prognoses in patients with left ventricular noncompaction cardiomyopathy. Am Heart Assoc. 2018;7(20):e009910. https://doi.org/10.1161/JAHA.118.009910.

    Article  Google Scholar 

  30. Andreini D, Pontone G, Bogaert J, Roghi A, Barison A, Schwitter J, Mushtaq S, Vovas G, Sormani P, Aquaro GD, Monney P, Segurini C, Guglielmo M, Conte E, Fusini L, Dello Russo A, Lombardi M, Gripari P, Baggiano A, Fiorentini C, Lombardi F, Bartorelli AL, Pepi M, Masci PG. Long-term prognostic value of cardiac magnetic resonance in left ventricle noncompaction: a prospective multicenter study. J Am Coll Cardiol. 2016;68:2166–81.

    Article  Google Scholar 

  31. Peters F, Khandheria BK, Botha F, Libhaber E, Matioda H, Dos Santos C, Govender S, Meel R, Essop MR. Clinical outcomes in patients with isolated left ventricular noncompaction and heart failure. J Card Fail. 2014;20(10):709–15. https://doi.org/10.1016/j.cardfail.2014.07.007.

    Article  PubMed  Google Scholar 

  32. Kimura K, Takenaka K, Ebihara A, Uno K, Morita H, Nakajima T, Ozawa T, Aida I, Yonemochi Y, Higuchi S, Motoyoshi Y, Mikata T, Uchida I, Ishihara T, Komori T, Kitao R, Nagata T, Takeda S, Yatomi Y, Nagai R, Komuro I. Prognostic impact of left ventricular noncompaction in patients with Duchenne/Becker muscular dystrophy—prospective multicenter cohort study. Int J Cardiol. 2013;168(3):1900–4. https://doi.org/10.1016/j.ijcard.2012.12.058.

    Article  Google Scholar 

  33. Greutmann M, Mah ML, Silversides CK, Klaassen S, Attenhofer Jost CH, Jenni R, Oechslin EN. Predictors of adverse outcome in adolescents and adults with isolated left ventricular noncompaction. Am J Cardiol. 2012;109:276–81.

    Article  Google Scholar 

  34. Correia E, Rodrigues B, Santos L, Faria R, Ferreira P, Gama P, Nascimento C, Dionisio O, Cabral C, Santos O. Noncompaction of the ventricular myocardium: characterization and follow-up of an affected population. Rev Port Cardiol. 2011;30(3):323–31.

    PubMed  Google Scholar 

  35. Brescia ST, Rossano JW, Pignatelli R, Jefferies JL, Price JF, Decker JA, Denfield SW, Dreyer WJ, Smith O, Towbin JA, Kim JJ. Mortality and sudden death in pediatric left ventricular noncompaction in a tertiary referral center. Circulation. 2013;127:2202–8.

    Article  Google Scholar 

  36. Kofflard MJ, Waldstein DJ, Vos J, ten Cate FJ. Prognosis in hypertrophic cardiomyopathy observed in a large clinic population. Am J Cardiol. 1993;72:939–43.

    Article  CAS  Google Scholar 

  37. Maron BJ, Casey SA, Poliac LC, Gohman TE, Almquist AK, Aeppli DM. Clinical course of hypertrophic cardiomyopathy in a regional United States cohort. JAMA. 1999;281:650–5.

    Article  CAS  Google Scholar 

  38. Tian T, Yang Y, Zhou L, Luo F, Li Y, Fan P, Dong X, Liu Y, Cui J, Zhou X. Left ventricular non-compaction: a cardiomyopathy with acceptable prognosis in children. Heart Lung Circ. 2018;27(1):28–32. https://doi.org/10.1016/j.hlc.2017.01.013.

    Article  PubMed  Google Scholar 

  39. Czosek RJ, Spar DS, Khoury PR, Anderson JB, Wilmot I, Knilans TK, Jefferies JL. Outcomes, arrhythmic burden and ambulatory monitoring of pediatric patients with left ventricular non-compaction and preserved left ventricular function. Am J Cardiol. 2015;115(7):962–6. https://doi.org/10.1016/j.amjcard.2015.01.024.

    Article  PubMed  Google Scholar 

  40. Jefferies JL, Wilkinson JD, Sleeper LA, Colan SD, Lu M, Pahl E, Kantor PF, Everitt MD, Webber SA, Kaufman BD, Lamour JM, Canter CE, Hsu DT, Addonizio LJ, Lipshultz SE, Towbin JA, Investigators PCR. Cardiomyopathy phenotypes and outcomes for children with left ventricular myocardial noncompaction: results from the pediatric cardiomyopathy registry. J Card Fail. 2015;21(11):877–84. https://doi.org/10.1016/j.cardfail.2015.06.381.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Celiker A, Ozkutlu S, Dilber E, Karagöz T. Rhythm abnormalities in children with isolated ventricular noncompaction. Pacing Clin Electrophysiol. 2005;28(11):1198–202.

    Article  Google Scholar 

  42. Wald R, Veldtman G, Golding F, Kirsh J, McCrindle B, Benson L. Determinants of outcome in isolated ventricular noncompaction in childhood. Am J Cardiol. 2004;94(12):1581–4.

    Article  Google Scholar 

  43. Caliskan K, Kardos A, Szili-Torok T. Empty handed: a call for an international registry of risk stratification to reduce the ‘sudden-ness’ of death in patients with non-compaction cardiomyopathy. Europace. 2009;11:1138–9.

    Article  Google Scholar 

  44. Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA, Calkins H, Corrado D, Cox MG, Daubert JP, Fontaine G, Gear K, Hauer R, Nava A, Picard MH, Protonotarios N, Saffitz JE, Sanborn DM, Steinberg JS, Tandri H, Thiene G, Towbin JA, Tsatsopoulou A, Wichter T, Zareba W. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the Task Force Criteria. Eur Heart J. 2010;31:806–14.

    Article  Google Scholar 

  45. Bhatia NL, Tajik AJ, Wilansky S, Steidley DE, Mookadam F. Isolated noncompaction of the left ventricular myocardium in adults: a systematic overview. J Card Fail. 2011;17:771–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kadir Caliskan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kaya, E., Otten, M., Caliskan, K. (2019). Long-term Prognosis and Management of Noncompaction Cardiomyopathy. In: Caliskan, K., Soliman, O., ten Cate, F. (eds) Noncompaction Cardiomyopathy. Springer, Cham. https://doi.org/10.1007/978-3-030-17720-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17720-1_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17719-5

  • Online ISBN: 978-3-030-17720-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics