Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of LVNC, previously diagnosed via echocardiography/CMR. Symptoms include [exertional dyspnea / palpitations / syncope / chest pain]. Review of systems positive for [decreased exercise tolerance / paroxysmal nocturnal dyspnea / orthopnea]. No history of thromboembolic events or sustained ventricular arrhythmias. Current functional status: NYHA Class [I/II/III/IV].
Clinical Examination Findings
Cardiovascular exam: Regular rate and rhythm, S1/S2 audible. Presence of [S3 gallop / apical systolic murmur]. Peripheral pulses symmetric. No jugular venous distension (JVD). Lungs: [Clear to auscultation / bibasilar crackles]. Extremities: [No peripheral edema / 1+ pitting edema]. Cardiac apex: [Displaced / non-displaced].
Treatment Protocol
Management plan: 1. Pharmacotherapy: Initiate [Beta-blocker / ACE inhibitor / ARB / Diuretic] for heart failure symptoms. 2. Anticoagulation: Indicated if AFib or systemic embolization present. 3. Arrhythmia monitoring: Holter/Event monitor for ventricular ectopy. 4. ICD/CRT evaluation: Assess for primary prevention of sudden cardiac death based on LVEF and risk stratification. 5. Lifestyle: Restriction of competitive sports.