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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.
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.
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| Measure | Description | Time Frame |
|---|---|---|
| Frequency of ATTR in CTS | Biopsy proven ATTR | 2 years |
| Cardiac involvement in patients with biopsy proven ATTR | Scintigraphic and echocardiographic cardiac involvement possibly cMRI | 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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Maximum 200 patients operated at Ålesund Hospital for CTS
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Torstein Hole, Professor, MD, PhD | Contact | +4770105000, +4793421002 | torstein.hole@helse-mr.no | |
| Jørn A Lillebø, consultant cardiology, MD | Contact | +4770105000 | jorn.asle.lillebo@helse-mr.no |
| Name | Affiliation | Role |
|---|---|---|
| Torstein Hole, MD, PhD | Helse Møre og Romsdal HF and NTNU | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ålesund Hospital | Recruiting | Ålesund | Møre og Romsdal | 6026 | Norway |
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| ID | Term |
|---|---|
| D002349 | Carpal Tunnel Syndrome |
| D028227 | Amyloid Neuropathies, Familial |
| ID | Term |
|---|---|
| D020423 | Median Neuropathy |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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| D009422 | Nervous System Diseases |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |
| D020271 | Heredodegenerative Disorders, Nervous System |
| D019636 | Neurodegenerative Diseases |
| D017772 | Amyloid Neuropathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D028226 | Amyloidosis, Familial |
| D008661 | Metabolism, Inborn Errors |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D000686 | Amyloidosis |
| D057165 | Proteostasis Deficiencies |