Smedema J-P, James R
Netcare Blaauwberg Hospital, Room 2A7, Waterville Crescent, Sunningdale 7441, Cape Town, Republic of South Africa.
Eur J Echocardiogr. 2009 Dec;10(8):984-6. doi: 10.1093/ejechocard/jep105. Epub 2009 Sep 12.
A 64-year-old female presented with biventricular heart failure. Echocardiography revealed features suggestive of amyloidosis, including segmental impairment of longitudinal strain (rate) in the septal and anterior segments, which matched delayed gadolinium-enhanced cardiac magnetic resonance. Guided endomyocardial biopsy confirmed the presence of perivascular amyloid deposits. Tissue Doppler and gadolinium-enhanced magnetic resonance may be helpful in delineating cardiac amyloidosis.
一名64岁女性因双心室心力衰竭就诊。超声心动图显示有提示淀粉样变性的特征，包括室间隔和前壁节段纵向应变（率）的节段性损害，这与延迟钆增强心脏磁共振成像结果相符。经引导的心内膜心肌活检证实存在血管周围淀粉样沉积物。组织多普勒和钆增强磁共振成像可能有助于明确心脏淀粉样变性。
