Presentation
History of bi-atrial enlargement, biventricular hypertrophy, systolic and diastolic dysfunction on echocardiogram. Cardiac MRI was positive for an infiltrative cardiomyopathy.
Patient Data
Age: 70 years
Gender: Male
From the case:
Cardiac amyloidosis
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Nuclear medicine scan strongly positive for transthyretin amyloid cardiomyopathy (ATTR-CM).
Semi-quantitative Perugini grading scale is 3.0
The ROI ratio is 1.9 (> 1.5 is positive).
Case Discussion
The patient is waiting for myocardial biopsy for corrective treatment. Work up for myeloma and systemic amyloidosis is negative.
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