Rapidly progressive heart failure in patient with restrictive cardiomyopathy secondary to newly diagnosed multiple myeloma
Abstrakt
Restrictive cardiomyopathy is a rare disease of the myocardium characterized by elevated filling pressures, and limited left ventricle filling with usually normal systolic function. The most common cause in our geographic region is AL amyloidosis.
This paper describes a case of a patient in whom multiple myeloma was diagnosed in an advanced stage of the disease, with organ damages and progressive heart failure, which was gradually reducing the quality of life and which despite the initiation of intensive treatment led to patient's death. This case proves that the disease gets little attention, is diagnosed late, and therefore it is important to be reminded of this diagnose.
Early detection of the aetiology of heart failure has a significant impact on the effectivity and success of the treatment.