Non-invasive diagnosis of cardiac amyloidosis due to transthyretin. Case report
DOI:
https://doi.org/10.23938/ASSN.0295Keywords:
Amyloidosis. Transthyretin. Cardiomiopathy. Heart failure. 99mTc-DPD scintigraphy.Abstract
Amyloidosis due to deposits of transthyretin (ATTR) is currently considered the most frequent form of cardiac amyloidosis and its incidence is increasing thanks to the advances in diagnostic imaging techniques. Some non-invasive diagnostic criteria have recently been published on this entity that due to the development of new drugs for the specific treatment of cardiac ATTR, have prognostic and therapeutic implications. That is why cardiac ATTR could cease to be a rare disease and become a frequent one, and become potentially treatable instead of incurable.
We present the case of an 80-year-old male diagnosed with non-hereditary cardiac ATTR by means of gammagraphy with 99mTc diphosfonate scintigraphy (99mTc-DPD) following the new criteria of non-invasive diagnosis.
Downloads
References
GÓNZALEZ LOPEZ E, LÓPEZ SAINZ A, GARCÍA PAVIA P. Diagnóstico y tratamiento de la amiloidosis cardiaca por transtirretina. Progreso y esperanza. Rev Esp Cardiol 2017; 70: 999-1004.
GARCÍA-PAVÍA P, TOMÉ-ESTEBAN MT, RAPEZZI C. Amiloidosis. También una enfermedad del corazón. Rev Esp Cardiol 2011; 64:797-808.
RAPEZZI C, LORENZINI M, LONGHI S, MILANDRI A, GAGLIARDI C, BARTOLOMEI I et al. Cardiac amyloidosis: the great pretender. Heart Fail Rev 2015; 20: 117-124.
MAURER MS, ELLIOTT P, COMENZO R, SEMIGRAN M, RAPEZZI C. Addressing common questions encountered in the diagnosis and management of cardiac amyloidosis. Circulation 2017; 135: 1357-1377.
GILLMORE JD, MAURER MS, FALK RH, MERLINI G, DAMY T, DISPENZIERI A et al. Nonbiopsy diagnosis of cardiac transthyretin amyloidosis. Circulation 2016; 133: 2404-2012.
GONZÁLEZ-LÓPEZ E, GALLEGO-DELGADO M, GUZZO-MERELLO G, DE HARO-DEL MORAL FJ, COBO-MARCOS M, ROBLES C et al. Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Eur Heart J 2015; 36: 2585-2594.
GONZÁLEZ-LÓPEZ E, GAGLIARDI C, DOMINGUEZ F, QUARTA CC, DE HARO-DEL MORAL FJ, MILANDRI A et al. Clinical characteristics of wildtype transthyretin cardiac amyloidosis: disproving myths. Eur Heart J 2017; 38: 1895-1904.
CULOTTA V, MOON JC. Amiloidosis cardiaca por transtirretina: antes una enfermedad monogénica minoritaria, ¿ahora una vía común de insuficiencia cardiaca? Rev Esp Cardiol 2016; 69: 888-889.
RAHMAN JE, HELOU EF, GELZER-BELL R, THOMPSON RE, KUO C, RODRIGUEZ ER et al. Noninvasive diagnosis of biopsy-proven cardiac amyloidosis. J Am Coll Cardiol 2004; 43: 410-415.
HARO DEL MORAL FJ, SÁNCHEZ-LAJUSTICIA A, GÓMEZ-BUENO M, GARCÍA-PAVÍA P, SALAS-ANTÓN C, SEGOVIA-CUBERO J. Papel de la gammagrafía cardiaca con 99mTc-DPD en la discriminación del tipo de amiloidosis cardíaca. Rev Esp Cardiol 2012; 65: 440-446.
PONIKOWSKI P, VOORS AA, ANKER SD, BUENO H, CLELAND JG, COATS AJ et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37: 2129-2200.
QUARTA CC, GONZALEZ-LOPEZ E, GILBERTSON JA, BOTCHER N, ROWCZENIO D, PETRIE A et al. Diagnostic sensivity of abdominal fat aspiration in cardiac amyloidosis. EHJ 2017; 38: 1905-1908.
GILLMORE JD, DAMY T, FONTANA M, HUTCHINSON M, LACHMANN HJ, MARTINEZ-NAHARRO A et al. A new staging system for cardiac transthyretin amyloidosis. Eur Heart J 2017. doi: 10.1093/eurheartj/ehx589.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Anales del Sistema Sanitario de Navarra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.