Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of LV non-compaction (LVNC). History significant for [asymptomatic/palpitations/dyspnea/syncope/chest pain]. No known family history of sudden cardiac death or cardiomyopathy. Current functional status: NYHA Class [I/II/III/IV]. Review of systems negative for thromboembolic events or systemic embolic phenomena.
Clinical Examination Findings
Cardiovascular exam: Regular rate and rhythm, S1/S2 present, no murmurs, rubs, or gallops. Peripheral pulses symmetric, 2+ bilaterally. No peripheral edema. Lungs clear to auscultation bilaterally. JVP not elevated. Apical impulse non-displaced.
Treatment Protocol
Management plan: 1. Guideline-directed medical therapy (GDMT) for heart failure if systolic dysfunction is present (ACEi/ARB/ARNI, Beta-blockers, MRA). 2. Anticoagulation indicated if AFib or documented thrombus present. 3. ICD/CRT evaluation based on LVEF and arrhythmia risk. 4. Serial echocardiography or cardiac MRI for structural monitoring. 5. Genetic counseling and cascade screening for first-degree relatives.