Monitor Patients with Carpal Tunnel Syndrome and Catch Transthyretin Cardiomyopathy Early in the Course

Target Audience
Healthcare providers in internal medicine, family medicine, surgery, cardiology, neurology, and healthcare professionals caring for patients with carpal tunnel syndrome and/or heart failure.

Program Overview
ATTR is a type of amyloidosis that affects the heart as well as other tissues such as the synovium of carpal tunnel. Bilateral carpal tunnel syndrome proceeds the symptoms of ATTR cardiomyopathy by a number of years. Topics on when to refer patients with carpal tunnel syndrome to cardiology and how to avoid misdiagnosis of ATTR by cardiologists are included in this program. Whether clinicians should ask about carpal tunnel syndrome in every heart failure patient or screen for amyloidosis at the time of carpal tunnel syndrome surgery will be discussed.

Learning Objectives
Upon completion of this activity, participants should be better able to:

Recognize that the presence of carpal tunnel syndrome can be the beginning of ATTR cardiomyopathy.
Monitor patients with carpal tunnel syndrome for left ventricular hypertrophy and other red flags of ATTR
Rule out AL amyloidosis and make accurate diagnosis of ATTR cardiomyopathy.