Electrophysiological phenotyping of left ventricular noncompaction cardiomyopathy in pediatric populations: A systematic review

被引:1
作者
Fitzsimons, Lindsey A. [1 ]
Kneeland-Barber, Delanie M. [1 ]
Hannigan, Gracie C. [1 ]
Karpe, David A. [1 ]
Wu, Lyman [2 ]
Colon, Michael [2 ,3 ,4 ]
Randall, Jess [2 ,3 ,4 ]
Tucker, Kerry L. [1 ]
机构
[1] Univ New England, Coll Osteopath Med, Dept Biomed Sci, Biddeford, ME 04005 USA
[2] Albany Med Coll, Albany Med Ctr, Albany, NY USA
[3] Albany Med Coll, Dept Pediat, Albany, NY USA
[4] Albany Med Coll, Pediat Cardiol, Capital Dist Pediat Cardiol Associates, Albany, NY USA
来源
PHYSIOLOGICAL REPORTS | 2024年 / 12卷 / 09期
关键词
arrhythmia; cardiomyopathy; electrocardiogram; fetal myocardium; honeycomb myocardium; hypertrabeculation; left ventricular noncompaction; noncompaction myocardium; pediatric; spongy myocardium; CARDIAC CONDUCTION SYSTEM; NON-COMPACTION; INTERRATER RELIABILITY; HEART-FAILURE; CLASSIFICATION; MYOCARDIUM; OUTCOMES; PREVALENCE; CARDIOLOGY; STATEMENT;
D O I
10.14814/phy2.16029
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Left ventricular noncompaction cardiomyopathy (LVNC) is a structural heart defect that has been associated with generation of arrhythmias in the population and is a cause of sudden cardiac death with severe systolic dysfunction and fatal arrhythmias. LVNC has gained increasing acknowledgment with increased prevalence. We conducted a systematic review of reported electrocardiogram (ECG) results for pediatric LVNC patients. EMBASE database query was performed, yielding 4531 articles related to LVNC between 1990 and December 2023. Patient age ranged from prenatal to 18 years of age. Qualitative analyses were performed to characterize individual arrhythmias, and summative interpretation of ECG evaluations was gathered for the entire cohort. Systematic review of 57 LVNC cases and ECG presentation revealed many waveform consistencies, including abnormal left ventricular, atrioventricular node, and interventricular septal patterns, and specifically a high incidence of Mobitz type II and Wolff-Parkinson-White waveforms. This review of ECG analysis reinforces the clinical and etiologic significance of pediatric LVNC. While LVNC in pediatric populations may not always present as acute clinical cases, further investigation into the electrophysiology of the disease supports the need for further evaluation and risk stratification for patients with suspected LVNC and/or ventricular arrhythmia.
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页数:13
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