Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient
Patients with cardiac amyloidosis are at increased AV-block and syncope risk. Therefore, a prophylactic pacemaker is often implanted. However, this case illustrates that other mechanisms should be ruled out prior to pacemaker implantation. The patient studied had mitral valve thickening without incr...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/3198715 |
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| author | Tor Skibsted Clemmensen Henning Mølgaard Niels Frost Andersen Steen Baerentzen Steen Hvitfeldt Poulsen |
| author_facet | Tor Skibsted Clemmensen Henning Mølgaard Niels Frost Andersen Steen Baerentzen Steen Hvitfeldt Poulsen |
| author_sort | Tor Skibsted Clemmensen |
| collection | DOAJ |
| description | Patients with cardiac amyloidosis are at increased AV-block and syncope risk. Therefore, a prophylactic pacemaker is often implanted. However, this case illustrates that other mechanisms should be ruled out prior to pacemaker implantation. The patient studied had mitral valve thickening without increased left ventricular outflow track (LVOT) velocity. However, bicycle exercise-stress test with simultaneous echocardiography revealed a stepwise decrease in blood pressure, a substantial increase in the LVOT velocity, and severe systolic anterior motion of the mitral valve. The patients’ symptoms were likely explained by these findings. Therefore, a comprehensive clinical evaluation is warranted prior to pacemaker implantation in cardiac amyloidosis patients. |
| format | Article |
| id | doaj-art-6a6c7d93636c4149bb7eeb3049084f1f |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-6a6c7d93636c4149bb7eeb3049084f1f2025-02-03T05:47:01ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/31987153198715Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis PatientTor Skibsted Clemmensen0Henning Mølgaard1Niels Frost Andersen2Steen Baerentzen3Steen Hvitfeldt Poulsen4Department of Cardiology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Cardiology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Hematology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Pathology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Cardiology, Aarhus University Hospital, Aarhus, DenmarkPatients with cardiac amyloidosis are at increased AV-block and syncope risk. Therefore, a prophylactic pacemaker is often implanted. However, this case illustrates that other mechanisms should be ruled out prior to pacemaker implantation. The patient studied had mitral valve thickening without increased left ventricular outflow track (LVOT) velocity. However, bicycle exercise-stress test with simultaneous echocardiography revealed a stepwise decrease in blood pressure, a substantial increase in the LVOT velocity, and severe systolic anterior motion of the mitral valve. The patients’ symptoms were likely explained by these findings. Therefore, a comprehensive clinical evaluation is warranted prior to pacemaker implantation in cardiac amyloidosis patients.http://dx.doi.org/10.1155/2016/3198715 |
| spellingShingle | Tor Skibsted Clemmensen Henning Mølgaard Niels Frost Andersen Steen Baerentzen Steen Hvitfeldt Poulsen Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient Case Reports in Cardiology |
| title | Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient |
| title_full | Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient |
| title_fullStr | Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient |
| title_full_unstemmed | Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient |
| title_short | Exercise-Stress Echocardiography Reveals Systolic Anterior Motion of the Mitral Valve as a Cause of Syncopes in a Cardiac Amyloidosis Patient |
| title_sort | exercise stress echocardiography reveals systolic anterior motion of the mitral valve as a cause of syncopes in a cardiac amyloidosis patient |
| url | http://dx.doi.org/10.1155/2016/3198715 |
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