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. 2023 Sep 4;7(9):ytad431. doi: 10.1093/ehjcr/ytad431
Year Event
Mar 2016 Surgical intervention: unilateral carpal tunnel syndrome.
Nov 2019 Diagnosis of wild-type transthyretin amyloidosis (ATTRwt) (screening study) (scintigraphy and endomyocardial biopsy positive for ATTRwt).
Day 0 Aug 2022 Current presentation:
shortness of breath, palpitation (atrial fibrillation), and mild swelling of lower legs.
Treatment with diuretics, beta-blocker, anti-coagulation, and planned sub-acute direct cardioversion. Discharged for outpatient care.
Day 7 Result of 48-h Holter monitoring:
paroxysmal atrial fibrillation (2 h).
Three episodes of ventricular tachycardia (VT), ∼20% ventricular ectopic beats.
Day 8 Coronary angiography: proximal left anterior descending artery stenosis—percutaneous coronary intervention performed simultaneously.
Anti-thrombotic and anti-cholesterol treatment added.
Day 13 Implantation of a dual chamber implantable cardioverter defibrillator (DDD-ICD).
Day 42
Sep 2022
At 1 month follow-up: New York Heart Association (NYHA) 1, no VT, and reduction of ventricular ectopy.
Day 104
Nov 2022
Three-month DDD-ICD monitoring: no evidence of VT.