Amyloid cardiomyopathy

Source: Wikipedia, the free encyclopedia.
Amyloid cardiomyopathy
Cardiac mri[3]
TreatmentChemotherapy or liver transplant[4]
Prognosis5-year survival rate of 10%[2]

Amyloid

heart.[7] The amyloid can be seen under polarized light in congo red stained biopsy.[citation needed
]

Symptoms

Amyloid cardiomyopathy is associated with a number of symptoms:

Pathophysiology

congestive heart failure, atrial arrythmia, ventricular arrythmia, and blocks to cardiac nervous conduction.[2]

Diagnosis

Diagnosis is often delayed, because its symptoms are non-specific.[4]

Electrocardiography can be used to identify low voltage and patterns similar to those of a heart attack.[3]

Cardiac MRI can be used to distinguish it from hypertensive heart disease.[1][3] This shows a thicker interventricular septum.[3]

Treatment

Chemotherapy can treat amyloidosis if it is related to immunoglobulins.[4] Liver transplant can treat amyloidosis if it is related to familial transthyretin.[4]

Prognosis

Outcomes for amyloid cardiomyopathy are generally very poor, with fewer than 10% of patients surviving more than 5 years.[2] Without treatment, few patients survive more than 6 months.[2]

Epidemiology

In developed countries, amyloid cardiomyopathy is estimated to be involved in 0.1% of deaths.[2]

References