open access

Vol 15, No 1 (2020)
Case Reports
Published online: 2020-02-27
Get Citation

Echo solves clinical puzzle — cardiac amyloidosis case report

Ewelina Kowalczyk, Karina Wierzbowska - Drabik, Piotr Lipiec, Jarosław D. Kasprzak
DOI: 10.5603/FC.2020.0008
·
Folia Cardiologica 2020;15(1):61-63.

open access

Vol 15, No 1 (2020)
Case Reports
Published online: 2020-02-27

Abstract

We present the case of a 53-year-old woman with New York Heart Association (NYHA) class III heart failure, despite optimal pharmacological therapy. Her medical history included: myocardial infarction with nonobstructive coronary arteries (MINOCA), heart failure with reduced ejection fraction and quadrantanopia with sensory neuropathy diagnosed as ischaemic stroke. Transthoracic echocardiography showed significant left ventricular hypertrophy with a ‘granular’ myocardial texture, global systolic dysfunction and restrictive mitral filling pattern. Two-dimensional (2D) transthoracic echo strain analysis demonstrated decreased global longitudinal strain with apical sparing, and helped to fit all the pieces of the jigsaw together to reach a consistent clinical diagnosis of cardiac amyloidosis.

Abstract

We present the case of a 53-year-old woman with New York Heart Association (NYHA) class III heart failure, despite optimal pharmacological therapy. Her medical history included: myocardial infarction with nonobstructive coronary arteries (MINOCA), heart failure with reduced ejection fraction and quadrantanopia with sensory neuropathy diagnosed as ischaemic stroke. Transthoracic echocardiography showed significant left ventricular hypertrophy with a ‘granular’ myocardial texture, global systolic dysfunction and restrictive mitral filling pattern. Two-dimensional (2D) transthoracic echo strain analysis demonstrated decreased global longitudinal strain with apical sparing, and helped to fit all the pieces of the jigsaw together to reach a consistent clinical diagnosis of cardiac amyloidosis.
Get Citation

Keywords

2D transthoracic echocardiography, cardiac amyloidosis, speckle tracking echocardiography

About this article
Title

Echo solves clinical puzzle — cardiac amyloidosis case report

Journal

Folia Cardiologica

Issue

Vol 15, No 1 (2020)

Pages

61-63

Published online

2020-02-27

DOI

10.5603/FC.2020.0008

Bibliographic record

Folia Cardiologica 2020;15(1):61-63.

Keywords

2D transthoracic echocardiography
cardiac amyloidosis
speckle tracking echocardiography

Authors

Ewelina Kowalczyk
Karina Wierzbowska - Drabik
Piotr Lipiec
Jarosław D. Kasprzak

References (4)
  1. Shah KB, Inoue Y, Mehra MR. Amyloidosis and the heart: a comprehensive review. Arch Intern Med. 2006; 166(17): 1805–1813.
  2. Falk RH. Diagnosis and management of the cardiac amyloidoses. Circulation. 2005; 112(13): 2047–2060.
  3. Falk RH, Quarta CC. Echocardiography in cardiac amyloidosis. Heart Fail Rev. 2015; 20(2): 125–131.
  4. Phelan D, Collier P, Thavendiranathan P, et al. Relative apical sparing of longitudinal strain using two-dimensional speckle-tracking echocardiography is both sensitive and specific for the diagnosis of cardiac amyloidosis. Heart. 2012; 98(19): 1442–1448.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl