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The article presents a clinical case of a 28-year-old female patient who was diagnosed with a noncompact myocardium of the left ventricle. The disease debuted with a cardiac rhythm disturbance clinic, according to the results of a long-term monitoring of the electrocardiogram, ventricular extrasystole Laun 4b was detected. In echocardiography, a sharp decrease in the fraction of the ejection of the left ventricle attracted attention. The diagnosis was made after the magnetic resonance tomography of the heart, the presence of two layers of the myocardium was revealed: compact and noncompact, more than twice the thickness of the compact layer. The patient is recommended a slow titration of the dose of angiotensin-converting enzyme inhibitors up to the maximum tolerable under the control of blood pressure; connection of anticoagulants in the framework of primary prevention of thromboembolic complications; implantation of a two-chamber artificial cardioverter-defibrillator in a planned order for the primary prevention of sudden cardiac death.

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Tatiana Viktorovna Chainikova

Permskiy gosudarstvennyy meditsinskiy universitet

Author for correspondence.

ординатор кафедры госпитальной терапии ФГБОУ ВО ПГМУ им. академика Е.А. Вагнера Минздрава России

Russian Federation, 614081, Пермь, ул. Пушкина, 85


Copyright (c) 2018 Chainikova T.V.

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