Abstract
A case of cardiac amyloidosis with left ventricular outflow obstruction with significant response to therapy
Highlights
A 55 year old man with past medical history of hypothyroidism presented to the emergency department complaining of 3 months history of progressively worsening abdominal distention, scrotal swelling, lower extremity edema and NYHA III dyspnea
Initial labs were significant for Hemoglobin of 21, hematocrit of 64, Brain Natriuretic Peptide (BNP) of 18000, albumin level of 1.3, dyslipidemia with low density lipoprotein of 309, Urine analysis showed frothy urine with high urine protein on dipstick, urine protein to creatinine ratio was 11.1
Contrast Tomography (CT) abdomen was remarkable for large volume ascites along with hepatomegaly with hepatic steatosis
Summary
A case of cardiac amyloidosis with left ventricular outflow obstruction with significant response to therapy. Nachiket Apte1*, Kendall Douglas, Nelson Garcia, Valerie Lockhart, Xin Gu3, K Modi and A Abdulbaki1 1Department of Cardiovascular Diseases, LSU- Health Sciences Center, Shreveport LA, USA 2Department of Internal Medicine, LSU- Health Sciences Center, Shreveport LA, USA 3Department of Pathology and Translational Pathobiology, LSU- Health Sciences Center, Shreveport LA, USA
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