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What is the treatment for AL cardiac amyloidosis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I took an ECG of approximately 20 minutes post-brisk uphill walk lasting up to 12.5 minutes. I also took Lisinopril 5 mg twice daily and tablet Lasix 40 mg twice daily. Please note that I have been diagnosed with AL cardiac amyloidosis. Please help.

Thank you.
Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

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Hello,

Welcome to icliniq.com.

I understand your concern. In ECG (electrocardiogram), a complete view of the cardiac activity or chamber enlargement cannot be accurately determined. I have reviewed your attached report (attachments removed to protect the patient's identity). Let us start with heart rate, which is determined by R-R interval, coming around 90 per minute. The rhythm is regular, and every beat arrives on time after the last beat. The P wave is best determined in lead 2 of 12 lead ECG. So, from here, it is a bit broad, possibly due to atrial enlargement. PR interval seems slightly prolonged here, but that can be best determined in full 12 lead ECG because, in amyloidosis, there are chances of atrial enlargement and AV (atrioventricular) heart block. QRS wave seems fine. There is a normal duration and amplitude. However, I can see some changes in the QRS pattern, which may signify the right bundle branch block and can be confirmed by 12 lead ECG. QT interval after that is normal. Your ECG shows non-specific changes of atrial chamber abnormality and likely bundle branch block. This can be accurately analyzed in a 12-lead ECG. I hope this information will work.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply. I have relatively severe left atrial enlargement. I appreciate your assistance. Thank you.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I understand your concern. You are most welcome. I wish you a great and healthy life ahead. Thanks.

Medically reviewed by Dr. K. Shobana
Published At May 17, 2023
Reviewed At October 28, 2024

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

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Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Yash Kathuria
Dr. Yash Kathuria

Cardiology

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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