Congenital heart disease

Left Ventricular Noncompaction in Childhood: Echocardiographic Follow-Up and Prevalence in First-Degree Relatives

JACC AdvPublished Matched cohort study

Authors' conclusion

At 2 to 4 years, children with LVNC diagnosed at birth had reduced systolic function compared to children without but did not have progression of LV dysfunction or extent of trabeculations. In first-degree relatives to children with LVNC, 30% fulfilled criteria.

Study context

Population
2 to 4-year-old children with and without left ventricular noncompaction (LVNC) at birth, and their first-degree relatives14 of 16 children with LVNC included
Participants
14 / 56 / 37 / 146
Exposure
Children with vs without LVNC at birth; their first-degree relatives
  • LVNCn = 14
  • No LVNCn = 56reference
  • Relatives of LVNCn = 37
  • Relatives of no LVNCn = 146reference
Outcome
Changes in LV function and morphology; prevalence of LVNC in first-degree relatives
Follow-up
2 to 4 years
Methodological detailsblinded LVNC assessment
  • Blinded LVNC assessment

Main finding

As reported in the abstract

GroupValueTrabeculation, birth vs follow-upLVEF, birth vs follow-upFulfilled LVNC criteria
LVNC49%8% vs 13%50% vs 49%
No LVNC60%
Relatives of LVNC30%11 of 37 (30%)

Value

LVNC49%
No LVNC60%
Relatives of LVNC30%

Trabeculation, birth vs follow-up

LVNC8% vs 13%
No LVNC— not stated in the abstract
Relatives of LVNC— not stated in the abstract

LVEF, birth vs follow-up

LVNC50% vs 49%
No LVNC— not stated in the abstract
Relatives of LVNC— not stated in the abstract

Fulfilled LVNC criteria

LVNC— not stated in the abstract
No LVNC— not stated in the abstract
Relatives of LVNC11 of 37 (30%)
  • LVNC vs No LVNC: P < 0.001 — LVEF at follow-up
  • LVNC: P = 0.81 — trabeculation, birth vs follow-up
  • LVNC: P = 0.91 — LVEF, birth vs follow-up
  • Relatives of LVNC vs Relatives of no LVNC: P < 0.001 — fulfilled LVNC criteria

Observational data: associations, not effects.

Original publication

Left Ventricular Noncompaction in Childhood: Echocardiographic Follow-Up and Prevalence in First-Degree Relatives. JACC Adv. Published 10 February 2024. doi:10.1016/j.jacadv.2024.100829

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