Diagnostic approach to cardiac amyloidosis: A case report.
The authors present a case of systemic amyloidosis with cardiac involvement. We discuss the need for a high level of suspicion to establish a diagnosis, diagnostic techniques and treatment options. Our patient was a 78-year-old man with chronic renal disease and atrial fibrillation admitted with acute decompensated heart failure of unknown cause. The transthoracic echocardiogram revealed severely impaired left ventricular function with phenotypic overlap between hypertrophic and restrictive cardiomyopathy. After an extensive diagnostic workup, which included an abdominal fat pad biopsy, the final diagnosis was amyloidosis.
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal. Electronic address: andreiafvf@gmail.com.
Andreia
A
Fernandes
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Francisca
F
Caetano
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Inês
I
Almeida
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Luís
L
Paiva
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Pedro
P
Gomes
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Paula
P
Mota
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Joana
J
Trigo
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Ana
A
Botelho
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Maria do Carmo
Mdo C
Cachulo
Serviço de Anatomia Patológica, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Joana
J
Alves
Serviço de Hematologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
Luís
L
Francisco
Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra - Hospital Geral, Coimbra, Portugal.
António
A
Leitão Marques
D000368:Aged; D000686:Amyloidosis / Q000150:complications / Q000175:diagnosis*; D001706:Biopsy; D009202:Cardiomyopathies / Q000150:complications / Q000175:diagnosis*; D004452:Echocardiography; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male
Amiloidose; Amyloidosis; Heart failure; Hypertrophic cardiomyopathy; Insuficiência cardíaca; Miocardiopatia hipertrófica; Miocardiopatia restritiva; Restrictive cardiomyopathy