A Case of Cardiac Amyloidosis Initially Misdiagnosed as Syndrome X
Hyung Rae Sohn1, Bong Gun Song1, Seong Yeon Jeong1
1Division of Cardiology, Cardiac and Vascular Center, Department of Medicine, Inje University Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea.
Insights
Cardiac amyloidosis, a rare condition, can mimic other heart issues like Syndrome X. Early diagnosis and heart transplantation offer a viable management strategy for this progressive cardiomyopathy.
Area of Science:
- Cardiology
- Oncology
Background:
- Cardiac amyloidosis involves amyloid fibril infiltration of the heart.
- It leads to progressive cardiomyopathy, congestive heart failure, valvular heart disease, and arrhythmias.
Observation:
- A rare case of cardiac amyloidosis was initially misdiagnosed as Syndrome X.
- The patient presented with recurrent chest pain and progressive heart failure.
Findings:
- Misdiagnosis delayed appropriate treatment for cardiac amyloidosis.
- Heart transplantation was ultimately successful in managing the patient's condition.
Implications:
- Highlights the importance of considering cardiac amyloidosis in differential diagnoses.
- Suggests heart transplantation as a potential treatment for advanced cardiac amyloidosis.
- Emphasizes the need for accurate diagnosis to improve patient outcomes in rare cardiac diseases.
Abstract:
Cardiac infiltration of amyloid fibril results in progressive cardiomyopathy with a grave prognosis and results in cardiac diseases such as congestive heart disease, cardiomyopathy, valvular heart disease, and arrhythmias. We present a rare case of cardiac amyloidosis initially misdiagnosed as syndrome X in which recurrent chest pain and progressive heart failure could be managed finally by heart transplantation.
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