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March 26, 2019World Journal of Clinical CasesOpen Access

Cardiac amyloidosis: A case report and review of literature

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Key result

A 73-year-old female presenting with cardiogenic shock was successfully diagnosed with cardiac amyloidosis using scintigraphy and endomyocardial biopsy following discordant ECG and echocardiogram findings.

Why the study?

Cardiac amyloidosis has historically been difficult to diagnose, but advancing imaging techniques facilitate earlier recognition and emerging treatments make early diagnosis essential.

Population

A 73 years old African American female in cardiogenic shock

Design

Case report and review of literature

Authors

ATAdeyemi TaiwoJohn H. Stroger, Jr. Hospital of Cook CountyLALavanya AlapatiEast Carolina UniversityAMAssad MovahedEast Carolina University

Discussion

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Implication

Advances in imaging may aid earlier cardiac amyloidosis recognition in reported cases; leaves open need for prospective validation before practice change.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 73-year-old African American female admitted with sudden onset shortness of breath and cardiogenic shock.
E
Exposure
Diagnostic evaluation including electrocardiogram, echocardiogram, scintigraphy, and endomyocardial biopsy
O
Outcome
Diagnosis of cardiac amyloidosis

Highlights the importance of multimodality imaging and clinical suspicion in diagnosing cardiac amyloidosis in patients presenting with cardiogenic shock.

Cite This Study

Taiwo et al. (2019) conducted a case report in Cardiac amyloidosis (n=1). Diagnostic evaluation (scintigraphy and endomyocardial biopsy) was evaluated on Diagnosis of cardiac amyloidosis. A 73-year-old female presenting with cardiogenic shock was successfully diagnosed with cardiac amyloidosis using scintigraphy and endomyocardial biopsy following discordant ECG and echocardiogram findings.

synapsesocial.com/papers/6a9fb95ff4a75fa1ef44a9d3https://doi.org/10.12998/wjcc.v7.i6.742
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  3. 399m Tc-Pyrophosphate Scintigraphy for Differentiating Light-Chain Cardiac Amyloidosis From the Transthyretin-Related Familial and Senile Cardiac Amyloidoses2013 · 625 citations
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