[Red flags of cardiac amyloidosis in patients with spinal stenosis and yellow ligament hypertrophy].

Autor:	Negreira Caamaño M; Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España., Ramírez Huaranga MA; Unidad de tratamiento del dolor crónico, Hospital General Universitario de Ciudad Real, Ciudad Real, España; Servicio de Reumatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España., García Vicente AM; Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, España; Departamento de Ciencias de la Salud. Facultad de Medicina. Universidad de Castilla La Mancha, Ciudad Real, España., Rienda Moreno MÁ; Servicio de Radiodiagnóstico, Hospital General Universitario de Ciudad Real, Ciudad Real, España., Castro Corredor D; Servicio de Reumatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España., Piqueras Flores J; Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, España; Departamento de Ciencias de la Salud. Facultad de Medicina. Universidad de Castilla La Mancha, Ciudad Real, España. Electronic address: jesus.piqueras.flores@gmail.com.
Jazyk:	English; Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2024 Jan 26; Vol. 162 (2), pp. 60-63. Date of Electronic Publication: 2023 Nov 03.
DOI:	10.1016/j.medcli.2023.09.016
Abstrakt:	Introduction: Studies addressing the prevalence of cardiac amyloidosis (CA) among patients with spinal stenosis (SS) are lacking. The identification of the red flags (RF) of CA could lead to early detection of cases of CA. The primary objective of this study was to address the prevalence of RF of CA among patients with SS. Methods: Transversal study including consecutive cases with SS and yellow ligament hypertrophy (YLH). A clinical assessment that included electrocardiogram, echocardiogram and urine and blood test was performed. A clinical suspicion of CA was defined by the presence of left ventricular hypertrophy plus any RF. Results: One hundred and three patients with SS and YLH were assessed. The prevalence of RF was high: heart failure: 18.4%; aortic stenosis: 1.9%; carpal tunnel syndrome: 7.8%; bicipital tendon rupture: 1.9%; arterial hypotension: 17.4%; polyneuropathy symptoms: 51.5%; pseudoinfarction pattern: 3.9%; low voltages: 15.5%; conduction abnormalities: 15.5%; decreased longitudinal strain: 25.3%; apical sparing pattern: 3.9%. The 57.3% of the cohort met the CA suspicion criteria. Conclusion: The prevalence of RF of CA is high among patients with SS and YLH. A high proportion of patients met the CA suspicion criteria. (Copyright © 2023 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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