We report a case of a 53-year-oldfemalepresentingwithanew-onsetheart failure thatwas contributedsecondary tononcompaction\ncardiomyopathy. The diagnosis was made by echocardiogram and confirmed by cardiac MRI. Noncompaction cardiomyopathy\n(also known as ventricular hypertrabeculation) is a newly discovered disease. It is considered to be congenital (genetic)\ncardiomyopathy. It is usually associated with genetic disorders and that could explain the genetic pathogenesis of the noncompaction\ncardiomyopathy. Our case had a history of Charcot-Marie-Tooth disease. There is a high incidence of arrhythmia\nand embolic complications. The treatment usually consists of the medical management, defibrillator placement, and lifelong\nanticoagulation. Heart transplantation will be the last resort.
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