Abstract
A 67-year-old asymptomatic woman who had a history of suspect myocarditis at the age of 37 and a history of minor stroke two years ago, presented for a routinary evaluation. Physical examination revealed no abnormal findings. ECG showed sinus rhythm, left ventricular hypertrophy, and ST changes in anterior leads. Both treadmill exercise testing and 24-hour Holter monitoring excluded ventricular or supraventricular arrhythmias and a normal exercise capacity was assessed. Echocardiography demonstrated a thickened apex of the left ventricle, but was not able to distinguish between hypertrophy and noncompaction myocardium; the left ventricle was dilated and measured 60mm in end-diastole, and the ejection fraction was reduced at 45%.
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