Senile cardiac amyloid

Alternative names:

amyloidosis - cardiac; cardiac amyloid

Treatment:

The treatment is aimed at control of symptoms.

Diuretics may be given to remove excess fluid. Digoxin and other medications are used cautiously to improve heart function. Analgesics may be used if there is pain.

The diet restrictions vary with the extent of cardiomyopathy and heart failure. They may include salt and/or fluid restrictions.

Physical activity may continue as tolerated.

A pacemaker may be indicated if there is symptomatic involvement of the conduction system. A heart transplant may be considered if heart function is very poor.

Daily weights may be recommended. A weight gain of 3 or 4 pounds or more over 1 or 2 days may indicate excessive fluid accumulation.

Stop smoking and stop drinking alcohol. These habits will make the symptoms worse.

Expectations (prognosis):

The condition is chronic and progressive.

Complications:

• congestive heart failure
• atrial fibrillation or ventricular arrhythmias
• sick sinus syndrome (occasionally)
• symptomatic cardiac conduction system disease (arrhythmias related to abnormal conduction of impulses through the heart muscle)
• hypotension and postural dizziness from excessive diuresis (from medication)
• increased sensitivity to digoxin with the potential for digoxin toxicity and related arrhythmias

Calling your health care provider:

Call your health care provider if you have this disorder and new symptoms develop, particularly:

• postural dizziness
• fainting spells
• excessive weight (fluid) gain
• excessive weight loss
• severe difficulty breathing