Mutant p.Val114Ala Transthyretin-Related Cardiac Amyloidosis with Heart Failure and Right Bundle Branch Block
A 70-year-old male patient was admitted to the cardiology outpatient clinic with gradually worsening dyspnea on exertion and lower extremity edema for the last 3 months. The patient’s functional capacity was New York Heart Association class III. It was learned that the patient was diagnosed with bilateral carpal tunnel syndrome 5 years ago. He had no additional chronic disease. There was no medication he used. There is no known cardiac disease in his family. On physical exam, his blood pressure was 115/70, heart rate 72 beats/min with regular rhythm. He had a grade 2/6 systolic murmur and severe pretibial edema. For 3 years, he has also reported paresthesia in the feet and hands.
Selda Murat