Borovkov N N, Amineva N V, Kovaleva G V, Sal'tseva M T, Paĭkova N N, Kuznetsov S S
Klin Med (Mosk). 2009;87(12):60-2.
The paper reports a case of restrictive cardiomyopathy due to cardiac amyloidosis. Diagnosis of this condition encounters difficulty created by the absence of pathognomonic symptoms of the disease. Major manifestations of amyloid cardiomyopathy are refractive chronic cardiac insufficiency, absence of cardiomyalgia, marked deterioration of diastolic filling of both ventricles, systemic hypotension, and disturbed heart rhythms.
该论文报告了一例由心脏淀粉样变性引起的限制性心肌病病例。由于该疾病缺乏特征性症状,其诊断存在困难。淀粉样心肌病的主要表现为难治性慢性心功能不全、无心肌疼痛、双心室舒张期充盈明显恶化、全身性低血压及心律紊乱。