From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points

Infiltrative cardiomyopathies are an increasingly recognized cause of heart failure warranting systematic evaluation. Given overlap of clinical and imaging findings among etiologies of infiltrative cardiomyopathies, comprehensive evaluation, including a history and physical examination, advanced car...

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Autores principales: Manavotam Singh, MD, Mrinalini Krishnan, MD, Amre Ghazzal, MD, Marc Halushka, MD, James E. Tozzi, MD, Robert D. Bunning, MD, Maria E. Rodrigo, MD, Samer S. Najjar, MD, Ezequiel J. Molina, MD, Farooq H. Sheikh, MD
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/b144048ac77d45d68bbc1da77ba3c691
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spelling oai:doaj.org-article:b144048ac77d45d68bbc1da77ba3c6912021-11-30T04:17:22ZFrom Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points2589-790X10.1016/j.cjco.2021.06.010https://doaj.org/article/b144048ac77d45d68bbc1da77ba3c6912021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589790X21001633https://doaj.org/toc/2589-790XInfiltrative cardiomyopathies are an increasingly recognized cause of heart failure warranting systematic evaluation. Given overlap of clinical and imaging findings among etiologies of infiltrative cardiomyopathies, comprehensive evaluation, including a history and physical examination, advanced cardiac imaging, and sometimes endomyocardial biopsy, is required for diagnosis. We report a case of infiltrative cardiomyopathy in which endomyocardial biopsy confirmed diagnosis of cobalt-induced cardiomyopathy. The novel teaching points highlighted by this case report include identification of heavy-metal toxicity as a cause of infiltrative cardiomyopathy, and the outline of a diagnostic approach and management for cobalt-induced cardiomyopathy. Résumé: Le fait que les cardiomyopathies infiltrantes sont de plus en plus reconnues comme la cause de l’insuffisance cardiaque justifie une évaluation systématique. Puisque les résultats cliniques et d’imagerie se recoupent entre les étiologies des cardiomyopathies infiltrantes, l’évaluation exhaustive, y compris les antécédents et l’examen physique, les techniques avancées en imagerie cardiaque et parfois la biopsie endomyocardique, est nécessaire au diagnostic. Nous présentons un cas de cardiomyopathie infiltrante pour lequel la biopsie endomyocardique a permis de confirmer le diagnostic d’une cardiomyopathie induite par le cobalt. Parmi les points à enseigner illustrés dans cette observation, on cite la reconnaissance de la toxicité des métaux lourds comme une cause de cardiomyopathie infiltrante, et la vue d’ensemble de l’approche diagnostique et de la prise en charge de la cardiomyopathie induite par le cobalt.Manavotam Singh, MDMrinalini Krishnan, MDAmre Ghazzal, MDMarc Halushka, MDJames E. Tozzi, MDRobert D. Bunning, MDMaria E. Rodrigo, MDSamer S. Najjar, MDEzequiel J. Molina, MDFarooq H. Sheikh, MDElsevierarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCJC Open, Vol 3, Iss 11, Pp 1392-1395 (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Manavotam Singh, MD
Mrinalini Krishnan, MD
Amre Ghazzal, MD
Marc Halushka, MD
James E. Tozzi, MD
Robert D. Bunning, MD
Maria E. Rodrigo, MD
Samer S. Najjar, MD
Ezequiel J. Molina, MD
Farooq H. Sheikh, MD
From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
description Infiltrative cardiomyopathies are an increasingly recognized cause of heart failure warranting systematic evaluation. Given overlap of clinical and imaging findings among etiologies of infiltrative cardiomyopathies, comprehensive evaluation, including a history and physical examination, advanced cardiac imaging, and sometimes endomyocardial biopsy, is required for diagnosis. We report a case of infiltrative cardiomyopathy in which endomyocardial biopsy confirmed diagnosis of cobalt-induced cardiomyopathy. The novel teaching points highlighted by this case report include identification of heavy-metal toxicity as a cause of infiltrative cardiomyopathy, and the outline of a diagnostic approach and management for cobalt-induced cardiomyopathy. Résumé: Le fait que les cardiomyopathies infiltrantes sont de plus en plus reconnues comme la cause de l’insuffisance cardiaque justifie une évaluation systématique. Puisque les résultats cliniques et d’imagerie se recoupent entre les étiologies des cardiomyopathies infiltrantes, l’évaluation exhaustive, y compris les antécédents et l’examen physique, les techniques avancées en imagerie cardiaque et parfois la biopsie endomyocardique, est nécessaire au diagnostic. Nous présentons un cas de cardiomyopathie infiltrante pour lequel la biopsie endomyocardique a permis de confirmer le diagnostic d’une cardiomyopathie induite par le cobalt. Parmi les points à enseigner illustrés dans cette observation, on cite la reconnaissance de la toxicité des métaux lourds comme une cause de cardiomyopathie infiltrante, et la vue d’ensemble de l’approche diagnostique et de la prise en charge de la cardiomyopathie induite par le cobalt.
format article
author Manavotam Singh, MD
Mrinalini Krishnan, MD
Amre Ghazzal, MD
Marc Halushka, MD
James E. Tozzi, MD
Robert D. Bunning, MD
Maria E. Rodrigo, MD
Samer S. Najjar, MD
Ezequiel J. Molina, MD
Farooq H. Sheikh, MD
author_facet Manavotam Singh, MD
Mrinalini Krishnan, MD
Amre Ghazzal, MD
Marc Halushka, MD
James E. Tozzi, MD
Robert D. Bunning, MD
Maria E. Rodrigo, MD
Samer S. Najjar, MD
Ezequiel J. Molina, MD
Farooq H. Sheikh, MD
author_sort Manavotam Singh, MD
title From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
title_short From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
title_full From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
title_fullStr From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
title_full_unstemmed From Hip to Heart: A Comprehensive Evaluation of an Infiltrative CardiomyopathyNovel Teaching Points
title_sort from hip to heart: a comprehensive evaluation of an infiltrative cardiomyopathynovel teaching points
publisher Elsevier
publishDate 2021
url https://doaj.org/article/b144048ac77d45d68bbc1da77ba3c691
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