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Heart failure caused by restrictive cardiomyopathy. role of integrated diagnostics for the etiologic diagnosis
- 1. Heart failure caused by restrictive cardiomyopathy. Role of integrated diagnostics for the etiologic diagnosis Dott. Cosimo Commisso U.O.C. Cardiologia – UTIC Policlinico Casilino , Rome - Italy
- 3. Disclosure I have no actual or potential conflict of interest in relation to this presentation
- 4. Clinic case Woman, 43 years old Diabetes mellitus Repeated hospitalizations for congestive heart failure, on one occasion complicated by cardiac arrest Previous diagnosis of myopathy with EMG Came to our attention for recurrent heart failure complicated by state anasarcatico
- 5. Diagnosis of myopathy with EMG
- 6. Blood tests Thrombocytopenia Hyperbilirubinemia (previous diagnosis of Gilbert's syndrome ) Proteinuria ELECTROCARDIOGRAM BAV I°- Low voltage QRS MONITORING ECG-graph repeated episodes of NSVT
- 7. BAV I°- Low voltage QRS
- 13. CARDIAC MRI with contrast medium
- 14. MORE CLINICAL INVESTIGATIONS LABORATORY TESTS Ø CK-MB negative Ø Immunofixation SERUM and URINE Negative
- 15. LET'S PUT ALL TOGETHER... ● Restrictive Syndrome • Restrictive Syndrome • AV conduction disturbance • Signs of myopathy with EMG
- 19. AND NOW?