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. |