[HF-FORUM] 6. RE: Spongiform myocardium. Dr. Towbin

作者:Dr.,Towbin 出处:Dr. Towbin

[HF-FORUM] 6. RE: Spongiform myocardium. Dr. TowbinPresuming that his LV is dilated and has systolic dysfunction (ie, dilatedcardiomyopathy-like phenotype),he should be on ACE Inhibitor and Beta-Blockertherapy. If systolic function is poor, use of aspirin (or even warfarin) forpotential thrombi is also reasonable to consider. Many cases of LVNoncompaction (formerly called spongiform myocardium) will reverse remodel.In some cases these patients present with HF due to diastolic dysfunction inthe face of LV hypertrophy (hypertrophic-like phenotype) in which caseBeta-Blockers are a reasonable starting point. In approximately 1/3 of children with this disease, they change from 1 form to the other (ie, DCM TOHCM, which we have termed an "und

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