High-Output Heart Failure in Multiple Myeloma

Enklajd Marsela, MD; Eric Hirsch, MD; Leandro Slipczuk, MD, PhD; Mark I. Travin, MD; Renée M. Moadel, MD, MS; Ulrich P. Jorde, MD; Sasa Vukelic, MD, PhD

JACC: Case Reports (Jul 2024)

High-Output Heart Failure in Multiple Myeloma

Enklajd Marsela, MD,
Eric Hirsch, MD,
Leandro Slipczuk, MD, PhD,
Mark I. Travin, MD,
Renée M. Moadel, MD, MS,
Ulrich P. Jorde, MD,
Sasa Vukelic, MD, PhD

Affiliations

Enklajd Marsela, MD: Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Eric Hirsch, MD: Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Leandro Slipczuk, MD, PhD: Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Mark I. Travin, MD: Division of Nuclear Medicine, Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Renée M. Moadel, MD, MS: Division of Nuclear Medicine, Department of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Ulrich P. Jorde, MD: Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
Sasa Vukelic, MD, PhD: Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA; Address for correspondence: Dr Sasa Vukelic, Montefiore Medical Center, 111 East 210th Street, Bronx, New York 10467, USA.

Journal volume & issue: Vol. 29, no. 14
p. 102387

Abstract

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We introduce the innovative use of technetium-99m–labeled macroaggregated albumin to diagnose high-output heart failure in a patient with multiple myeloma with persistent congestion symptoms. Symptom resolution occurred with lenalidomide and steroids. This marks the first clinical use of technetium-99m–labeled macroaggregated albumin for clarifying high-output heart failure etiology.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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