Open AccessTrajectory of left ventricular geometry and diastolic dysfunction in hereditary transthyretin cardiac amyloidosis
Author(s) -
Akatsuka Tatsuya,
Fujimoto Naoki,
Ishiyama Masaki,
Nakamori Shiro,
ImanakaYoshida Kyoko,
Dohi Kaoru
Publication year - 2021
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.13454
Subject(s) - medicine , cardiology , cardiac amyloidosis , heart failure , cardiomyopathy , concentric hypertrophy , restrictive cardiomyopathy , amyloidosis , diastole , transthyretin , dilated cardiomyopathy , blood pressure
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.