ATTR Amyloidosis Wild Type, ATTR Gene Mutation, Cardiac Amyloidosis, Carpal Tunnel Syndrome
Conditions
Brief summary
Patients operated for carpal tunnel syndrome (CTS) at Ålesund Hospital (200 patients) will have a biopsy to diagnose ATTR amyloidosis. Patients with positive biopsy will be examined to decide wether they have cardiac amyloidosis. All patients with positive biopsy will be followed closely for 10 years wit echocardiography an clinically.
Detailed description
Biopsy proven ATTR (v/wt) amyloidosis inpatients operated with CTS will undergo standard guidelines recommended examinations as 99mTcDPD SPECT CT, echocardiography, ECG, Holter, genetic testing (v/wt), and lab testing, and CMRI as indicated. Exclusion of light chain disease will be done. All patients will be followed at least yearly as indicated by guidelines (ESC), and patients with development of cardiac amyloidosis will get standard treatment in accordance with guidelines and as approved by the Norwegian government. All patients will be followed for 10 years.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Male \> 50 years * Female \> 60 years * operated CTS at Ålesund Hospital
Exclusion criteria
* not consented * do not speak Norwegian * secondary cause of CTS as traumatic or rheumatic * cannot be followed \> 5 years due to other medical conditions * Cardiac disease at time of operation for CTS
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of ATTR in CTS | 2 years | Biopsy proven ATTR |
| Cardiac involvement in patients with biopsy proven ATTR | 10 years | Scintigraphic and echocardiographic cardiac involvement possibly cMRI |
Countries
Norway
Contacts
Helse Møre og Romsdal HF and NTNU