Over a 5-year period, Val30Met hereditary ATTR cardiomyopathy caused significant left ventricular concentric remodeling, increased LV stiffness, and prolonged LV relaxation in a 79-year-old woman.
Case Report (n=1)
This case report illustrates the progressive trajectory of left ventricular concentric remodeling and diastolic dysfunction over 5 years in a patient with Val30Met hereditary ATTR cardiomyopathy.
Amyloid transthyretin (ATTR) depositions cause left ventricular (LV) hypertrophy, diastolic dysfunction, and heart failure. The time course of changes in LV geometry and diastolic dysfunction has not been fully reported in patients with ATTR cardiomyopathy. A 79-year-old woman with previous myocardial infraction presented with shortness of breath on exertion, and progressive bilateral lower extremity weakness and polyneuropathy. She was diagnosed with Val30Met hereditary ATTR cardiomyopathy by cardiac biopsy and genetic testing. During the past 5 year period, significant LV concentric remodelling with small LV cavity occurred, resulting in an increased LV stiffness and prolonged LV relaxation. This case report highlights the time course of changes in LV geometry and diastolic function and the importance of early diagnosis of ATTR cardiomyopathy.
Akatsuka et al. (Sat,) conducted a case report in Hereditary Transthyretin Cardiac Amyloidosis (n=1). Val30Met hereditary ATTR cardiomyopathy was evaluated on Changes in LV geometry and diastolic function. Over a 5-year period, Val30Met hereditary ATTR cardiomyopathy caused significant left ventricular concentric remodeling, increased LV stiffness, and prolonged LV relaxation in a 79-year-old woman.
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