Sažetak sa skupa

https://doi.org/10.15836/ccar2019.248

Restrictive cardiomyopathy in a female patient

Rreze Koshi ; General Hospital Gjakova, Gjakova, Republic of Kosovo

Sažetak

Introduction: Secondary (or functional) mitral regurgitation (MR) frequently accompanies heart failure
syndromes and is associated with poor prognosis.1 Initial surgical approaches failed to impact on
outcome in contrast with optimized medical therapy, cardiac resynchronization therapy (CRT), longterm
ventricular assist devices, and cardiac transplantation.
Case report: The aim of this case is to follow up the median age of the female patient with restrictive
cardiomyopathy which is idiopathic and with incipient type 2 diabetes and hypothyroidism. The patient
was diagnosed 9 years ago, and she was in regular therapy with beta-blockers, ACE-inhibitors,
antithrombotic and diuretics. The echocardiography was with grade 2+ MR, grade 1+ aortic regurgitation
grade 1+ tricuspid regurgitation, and with EF 40 %. Last year she was admitted again which
is acute pericarditis and arrythmia which was not corrected with antiarrhythmics. The analyses of
antiphospholipid syndrome were negative, but she was with hypothyroidism and cholelithiasis which
is also treated. The patient was also in therapy of arrythmia drugs, also continuing with diuretics and
antidiabetics, but advised for resynchronization ICD or CRT. She was admitted for resynchronization
and she is with CRT and the same medical therapy without antiarrhythmics and continuing treatment
of diabetes and hypothyroidism.
Conclusion: The patient with idiopathic restrictive cardiomyopathy should follow up and considering
a good medication therapy and should convinced for further step of general condition to be treated and
carriage for life.

Ključne riječi

restrictive cardiomyopathy; female; cardiac resynchronization therapy.

Hrčak ID:

226716

URI

https://hrcak.srce.hr/226716

Datum izdavanja:

15.10.2019.

Posjeta: 953 *