European Heart Journal Advance Access published online on November 28, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm536
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
Ventricular non-compaction—a frequently ignored finding?
Cardiac Unit, Institute of Child Health, 30 Guilford Street, University College, London WC1N 1EH, UK
* Corresponding author. Tel: +44 20 7905 2295, Fax: +44 20 7905 2324. Email: r.anderson@ich.ucl.ac.uk
This editorial refers to Diagnosis of left ventricular non-compaction in patients with left ventricular systolic dysfunction: time for a reappraisal of diagnostic criteria? by S.K. Kohli et al., doi:10.1093/eurheartj/ehm481
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The investigation by Kohli and his colleagues1 reveals startling findings. In a population of almost 200 patients referred to a dedicated clinic investigating cardiac failure in the UK, almost one-quarter were found to satisfy the currently accepted diagnostic criteria for ventricular non-compaction, or hypertrabeculation to give the finding its alternative name.2 Significantly, these criteria were also satisfied by five of 60 control subjects, of whom 30 were black, with four of these showing the features of non-compaction. The authors rightly conclude that the current criteria used for diagnosis of non-compaction are too sensitive, particularly amongst the black population. The alternative conclusion is that non-compaction,
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- Diagnosis of left-ventricular non-compaction in patients with left-ventricular systolic dysfunction: time for a reappraisal of diagnostic criteria?
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