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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Hypertrophic cardiomyopathy unveiling multiple myeloma: A diagnostic challenge
Lamassab Nour El Houda1,2, Bilal Marwa1,2, Noha El Ouafi3,1,2
1Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Insights
Multiple myeloma, a blood cancer, can rarely cause hypertrophic cardiomyopathy and heart failure. This case highlights cardiac amyloidosis as an early sign of multiple myeloma before other symptoms appear.
Area of Science:
- Hematology
- Cardiology
- Oncology
Background:
- Hypertrophic cardiomyopathy is a complex cardiac condition.
- Hematologic malignancies can rarely manifest with cardiac symptoms.
Observation:
- A 65-year-old man presented with congestive heart failure.
- Electrocardiogram (EKG) and echocardiography suggested cardiac amyloidosis.
Findings:
- Etiological assessment revealed multiple myeloma as the underlying cause.
- Cardiac amyloidosis secondary to multiple myeloma presented as new-onset, rapidly progressive heart failure.
Implications:
- This case underscores the importance of considering multiple myeloma in patients with unexplained cardiac amyloidosis.
- Early diagnosis of multiple myeloma is crucial for managing cardiac complications and improving patient outcomes.
Abstract:
Hypertrophic cardiomyopathy can be a rare initial presentation of hematologic malignancies such as multiple myeloma that is caused by an uncontrolled clonal proliferation of plasma cells. We report a case of a 65-year-old man, presenting with congestive heart failure, in whom EKJ and echocardiography findings are suggestive of cardiac amyloidosis, and which the etiological assessment identified multiple myeloma as the underlying cause. Through this case, we demonstrate that cardiac amyloidosis secondary to multiple myeloma can present as a newly diagnosed and rapidly progressive heart failure before any typical clinical features of multiple myeloma appear.
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