Left ventricular non-compaction (LVNC) is a rare cardiomyopathy that can present either with overt congestive heart failure or with minimal or no symptoms.1,2 It is classified as an inherited genetic cardiomyopathy in 50% of the cases and can be sporadic in other cases. It is a result of intrauterine arrest of endomyocardial morphogenesis between five and eight weeks of life. LVNC is characterized by multiple prominent trabeculations with deep intertrabecular recesses resulting in thickened myocardium with two layers of compacted and non-compacted myocardium.1 The following case represents a patient who presented with minimal symptoms in a primary care setting.