В статье представлен клинический случай, описывающий трудности дифференциальной диагностики типов амилоидоза сердца и верификации диагноза AL-амилоидоза.
The article presents a clinical case describing a complex differential diagnosis of cardiac amyloidosis types and verification of the diagnosis of AL-amyloidosis.
1. Buxbaum JN, Dispenzieri A, Eisenberg DS, et al. Amyloid nomenclature 2022: update, novel proteins, and recommendations by the International Society of Amyloidosis (ISA) Nomenclature Committee. Amyloid. 2022;29(4):213-9. DOI:10.1080/13506129.2022.2147636
2. Dubrey SW, Hawkins PN, Falk RH. Amyloid diseases of the heart: Assessment, diagnosis, and referral. Heart. 2011;97(1):75-84. DOI:10.1136/hrt.2009.190405
3. Siddiqi OK, Ruberg FL. Cardiac amyloidosis: An update on pathophysiology, diagnosis, and treatment. Trends Cardiovasc Med. 2018;28(1):10-21. DOI:10.1016/j.tcm.2017.07.004
4. Adams D, Suhr OB, Hund E, et al. First European consensus for diagnosis, management, and treatment of transthyretin familial amyloid polyneuropathy. Curr Opin Neurol.
2016;29:S14-26. DOI:10.1097/WCO.0000000000000289
5. Falk RH, Alexander KM, Liao R, Dorbala S. AL (Light-Chain) Cardiac Amyloidosis: A Review of Diagnosis and Therapy. J Am Coll Cardiol. 2016;68(12):1323-41. DOI:10.1016/j.jacc.2016.06.053
6. Ryšavá R. AL amyloidosis: advances in diagnostics and treatment. Nephrol Dial Transplant. 2019;34(9):1460-6. DOI:10.1093/ndt/gfy291
7. Palladini G, Milani P, Merlini G. Management of AL amyloidosis in 2020. Blood. 2020;136(23):2620-7. DOI:10.1182/blood.2020006913
8. Rubin J, Maurer MS. Cardiac Amyloidosis: Overlooked, Underappreciated, and Treatable. Annu Rev Med. 2020;71:203-19. DOI:10.1146/annurev-med-052918-020140
9. Dittrich T, Kimmich C, Hegenbart U, Schönland SO. Prognosis and Staging of AL Amyloidosis. Acta Haematol. 2020;143(4):388-400. DOI:10.1159/000508287
10. Сергиенко В.Б., Терещенко С.Н., Аншелес А.А., и др. Радионуклидные методы в диагностике амилоидоза сердца. Рациональная фармакотерапия в кардиологии. 2018;14(1):94-100 [Sergienko VB, Tereshchenko SN, Ansheles AA, et al. Nuclear imaging in the diagnosis of cardiac amyloidosis. Rational Pharmacotherapy in Cardiology.
2018;14(1):94-100 (in Russian)]. DOI:10.20996/1819-6446-2018-14-1-94-100
11. Martinez-Naharro A, Hawkins PN, Fontana M. Cardiac amyloidosis. Clin Med (Lond). 2018;18(Suppl. 2):s30-s35. DOI:10.7861/clinmedicine.18-2-s30
12. Zeng Y, Poterucha TJ, Einstein AJ, et al. False positive technetium-99m pyrophosphate scintigraphy in a patient with cardiac amyloidosis light chain: Case report. Medicine (Baltimore). 2021;100(17):e25582. DOI:10.1097/MD.0000000000025582
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1. Buxbaum JN, Dispenzieri A, Eisenberg DS, et al. Amyloid nomenclature 2022: update, novel proteins, and recommendations by the International Society of Amyloidosis (ISA) Nomenclature Committee. Amyloid. 2022;29(4):213-9. DOI:10.1080/13506129.2022.2147636
2. Dubrey SW, Hawkins PN, Falk RH. Amyloid diseases of the heart: Assessment, diagnosis, and referral. Heart. 2011;97(1):75-84. DOI:10.1136/hrt.2009.190405
3. Siddiqi OK, Ruberg FL. Cardiac amyloidosis: An update on pathophysiology, diagnosis, and treatment. Trends Cardiovasc Med. 2018;28(1):10-21. DOI:10.1016/j.tcm.2017.07.004
4. Adams D, Suhr OB, Hund E, et al. First European consensus for diagnosis, management, and treatment of transthyretin familial amyloid polyneuropathy. Curr Opin Neurol.
2016;29:S14-26. DOI:10.1097/WCO.0000000000000289
5. Falk RH, Alexander KM, Liao R, Dorbala S. AL (Light-Chain) Cardiac Amyloidosis: A Review of Diagnosis and Therapy. J Am Coll Cardiol. 2016;68(12):1323-41. DOI:10.1016/j.jacc.2016.06.053
6. Ryšavá R. AL amyloidosis: advances in diagnostics and treatment. Nephrol Dial Transplant. 2019;34(9):1460-6. DOI:10.1093/ndt/gfy291
7. Palladini G, Milani P, Merlini G. Management of AL amyloidosis in 2020. Blood. 2020;136(23):2620-7. DOI:10.1182/blood.2020006913
8. Rubin J, Maurer MS. Cardiac Amyloidosis: Overlooked, Underappreciated, and Treatable. Annu Rev Med. 2020;71:203-19. DOI:10.1146/annurev-med-052918-020140
9. Dittrich T, Kimmich C, Hegenbart U, Schönland SO. Prognosis and Staging of AL Amyloidosis. Acta Haematol. 2020;143(4):388-400. DOI:10.1159/000508287
10. Sergienko VB, Tereshchenko SN, Ansheles AA, et al. Nuclear imaging in the diagnosis of cardiac amyloidosis. Rational Pharmacotherapy in Cardiology. 2018;14(1):94-100 (in Russian). DOI:10.20996/1819-6446-2018-14-1-94-100
11. Martinez-Naharro A, Hawkins PN, Fontana M. Cardiac amyloidosis. Clin Med (Lond). 2018;18(Suppl. 2):s30-s35. DOI:10.7861/clinmedicine.18-2-s30
12. Zeng Y, Poterucha TJ, Einstein AJ, et al. False positive technetium-99m pyrophosphate scintigraphy in a patient with cardiac amyloidosis light chain: Case report. Medicine (Baltimore). 2021;100(17):e25582. DOI:10.1097/MD.0000000000025582
1ФГБУ «Национальный медицинский исследовательский центр кардиологии им. акад. Е.И. Чазова» Минздрава России, Москва, Россия; 2ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия; 3ФГБУН «Институт белка» РАН, Пущино, Россия
*feelorlove@gmail.com
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Filipp I. Orlov*1, Alexey A. Ansheles1, Svetlana N. Nasonova1, Marina A. Saidova1, Igor V. Zhirov1,2, Elena A. Stepanova2, Mariya Yu. Suvorina3, Anastasia A. Shoshina1, Sergey N. Tereshchenko1, Vladimir B. Sergienko1
1Chazov National Medical Research Center of Cardiology, Moscow, Russia; 2Russian Medical Academy of Continuous Professional Education, Moscow, Russia; 3Institute of Protein Research, Pushchino, Russia
*feelorlove@gmail.com