Infiltrative Cardiomyopathy Causing Heart Failure with Compromised Ejection Fraction (HFrEF) : An entity to look out for

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dc.contributor.authorOwuor, Henryen_US
dc.contributor.authorGikonyo, Anthonyen_US
dc.contributor.authorPonoth, Premanand Menonen_US
dc.contributor.authorGikonyo, Danen_US
dc.date.accessioned2024-12-02T06:58:18Z
dc.date.available2024-12-02T06:58:18Z
dc.date.issued2024-07
dc.description.abstractInfiltrative cardiomyopathy is characterized by deposition of abnormal substances within the heart tissue resulting in diastolic dysfunction and less commonly systolic dysfunction late stage of the disease. The more common types of infiltrative cardiomyopathy are cardiac amyloidosis, sarcoidosis and hemochromatosis. We present the case of a 73 year old male with dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea and fainting episodes. Electrocardiogram (ECG) showed low-voltage QRS complexes, Right Bundle Branch Block (RBBB) with associated Left Anterior Fascicular Block (LAFB) and on echocardiogram demonstrated reduced systolic function. The Cardiac MRI demonstrated restrictive cardiomyopathy with both systolic and diastolic dysfunction concluding that there is infiltrative cardiomyopathy due to either sarcoidosis or amyloidosis. Caution must be exercised while using the guideline medical therapeutic drugs that form the pillar of comprehensive heart failure therapy as they have many untoward side effects.en_US
dc.identifier.affiliationsMbChb, M Med, Cardiology Fellow, Department of Cardiology, The Karen Hospital, Nairobi, Kenyaen_US
dc.identifier.affiliationsMRCP, FACC, Interventional Cardiologist, The Karen Hospital, Nairobi, Kenyaen_US
dc.identifier.affiliationsMS, Mch, FACS, FACC, FICS, FIACS, FACP, Professor & Chief, Department of Cardiothoracic & Vascular Surgery, The Karen Hospital, Nairobi, Kenyaen_US
dc.identifier.affiliationsMbChb, M Med, FACC, Senior Cardiologist, The Karen Hospital, Nairobi, Kenyaen_US
dc.identifier.citationOwuor Henry, Gikonyo Anthony, Ponoth Premanand Menon, Gikonyo Dan . Infiltrative Cardiomyopathy Causing Heart Failure with Compromised Ejection Fraction (HFrEF) : An entity to look out for. Journal of the Indian Medical Association. 2024 Jul; 122(7): 81-84en_US
dc.identifier.issn0019-5847
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/238899
dc.languageenen_US
dc.publisherTHE INDIAN MEDICAL ASSOCIATIONen_US
dc.relation.issuenumber7en_US
dc.relation.volume122en_US
dc.source.urihttps://www.onlinejima.com/read_journals.php?article=1406en_US
dc.subjectInfiltrative Cardiomyopathyen_US
dc.subjectRestrictive Cardiomyopathyen_US
dc.subjectCardiac MRI (CMR)en_US
dc.subjectAmyloidosisen_US
dc.subjectSarcoidosisen_US
dc.titleInfiltrative Cardiomyopathy Causing Heart Failure with Compromised Ejection Fraction (HFrEF) : An entity to look out foren_US
dc.typeJournal Articleen_US
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