Cardiac amyloidosis differential diagnosis: Difference between revisions
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Cardiac amyloidosis is differentiated from the above disorders by the presence of the following: | Cardiac amyloidosis is differentiated from the above disorders by the presence of the following: | ||
* Presence of [[low voltage on the EKG]]. Other causes of a [[low QRS voltage]] are shown here. | * Presence of [[low voltage on the EKG]]. Other causes of a [[low QRS voltage]] are shown here Low QRS Voltage#Causes of Low QRS Voltage. | ||
* Echo features such as: | * Echo features such as: | ||
** Diffuse increased echogenicity | ** Diffuse increased echogenicity |
Revision as of 18:48, 29 October 2019
Cardiac amyloidosis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]; Aarti Narayan, M.B.B.S [3]; Lakshmi Gopalakrishnan, M.B.B.S. [4]
Overview
Cardiomyopathy with congestive heart failure is the most common presentation of cardiac amyloidosis. Other common causes of a cardiomyopathy should be excluded, and cardiac amyloidosis should be considered in the absence of a history of myocaridal ischemia, myocardial infarction or presence of coronary artery disease risk factors.[1] Cardiac amyloidosis should be included in the differential diagnoses in patients with unexplained congestive heart failure who have no history of Valvular heart disease, long-standing hypertension or myocardial ischemia.[1]
Differentiating Cardiac Amyloidosis from Other Diseases
Cardiac amyloidosis should be differentiated from the following:
- Hypertension
- Anderson-Fabry disease
- Hypertrophic cardiomyopathy
- Cardiac sarcoidosis
- Cardiac lymphoma
Cardiac amyloidosis is differentiated from the above disorders by the presence of the following:
- Presence of low voltage on the EKG. Other causes of a low QRS voltage are shown here Low QRS Voltage#Causes of Low QRS Voltage.
- Echo features such as:
- Diffuse increased echogenicity
- Valve thickening
- Thickened interatrial septum
- Global late gadolinium enhancement (LGE) on MRI
References
- ↑ 1.0 1.1 Gertz MA, Lacy MQ, Dispenzieri A (1999). "Amyloidosis: recognition, confirmation, prognosis, and therapy". Mayo Clinic Proceedings. Mayo Clinic. 74 (5): 490–4. doi:10.4065/74.5.490. PMID 10319082. Retrieved 2012-02-13. Unknown parameter
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