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一例有趣的心脏淀粉样变性病,最初被诊断为肥厚型心肌病。

An interesting case of cardiac amyloidosis initially diagnosed as hypertrophic cardiomyopathy.

机构信息

First Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Greece.

出版信息

Hellenic J Cardiol. 2010 Nov-Dec;51(6):552-7.

PMID:21169191
Abstract

Cardiac involvement occurs frequently in primary amyloidosis and is associated with heart failure hospitalizations and poor survival. The initial presentation of the disease may be misleading, resulting in under-diagnosis of cardiac amyloidosis and late initiation of treatment. We present a case of cardiac amyloidosis initially misdiagnosed as hypertrophic cardiomyopathy and we discuss the key findings of the disease along with the latest evidence regarding the management and prognosis of cardiac amyloidosis.

摘要

心脏受累在原发性淀粉样变中很常见,与心力衰竭住院和预后不良相关。该病的初始表现可能具有误导性,导致心脏淀粉样变性的诊断不足和治疗开始延迟。我们报告了一例最初误诊为肥厚型心肌病的心脏淀粉样变性病例,并讨论了该病的主要发现以及关于心脏淀粉样变性的管理和预后的最新证据。

相似文献

1
An interesting case of cardiac amyloidosis initially diagnosed as hypertrophic cardiomyopathy.一例有趣的心脏淀粉样变性病,最初被诊断为肥厚型心肌病。
Hellenic J Cardiol. 2010 Nov-Dec;51(6):552-7.
2
Hypertrophic cardiomyopathy complicated with cardiac amyloidosis.肥厚型心肌病合并心脏淀粉样变性。
Intern Med. 2000 Aug;39(8):637-40. doi: 10.2169/internalmedicine.39.637.
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Left ventricular hypertrophy: cardiac magnetic resonance may help differentiate amyloidosis from hypertrophic cardiomyopathy.左心室肥厚:心脏磁共振成像可能有助于鉴别淀粉样变性与肥厚型心肌病。
Arch Cardiovasc Dis. 2010 Jan;103(1):55-6. doi: 10.1016/j.acvd.2008.11.006. Epub 2009 Jun 2.
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Cardiac amyloidosis presenting as pseudo-hypertrophic cardiomyopathy.表现为假性肥厚型心肌病的心脏淀粉样变性。
Cardiovasc J S Afr. 2004 May-Jun;15(3):136-8.
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[Chronic heart failure in patients with cardiac amyloidosis].[心脏淀粉样变性患者的慢性心力衰竭]
Klin Med (Mosk). 2009;87(3):26-30.
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Differentiation of cardiac amyloidosis and hypertrophic cardiomyopathy. A comparison of familial amyloidosis with polyneuropathy and hypertrophic cardiomyopathy by electrocardiography and echocardiography.心脏淀粉样变性与肥厚型心肌病的鉴别。通过心电图和超声心动图对家族性淀粉样变性伴多神经病和肥厚型心肌病进行比较。
Acta Med Scand. 1987;221(1):39-46.
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Value of electrocardiogram in the differentiation of hypertensive heart disease, hypertrophic cardiomyopathy, aortic stenosis, amyloidosis, and Fabry disease.心电图在高血压性心脏病、肥厚型心肌病、主动脉瓣狭窄、淀粉样变性和 Fabry 病鉴别诊断中的价值。
Am J Cardiol. 2012 Feb 15;109(4):587-93. doi: 10.1016/j.amjcard.2011.09.052. Epub 2011 Nov 19.
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Syncope from dynamic left ventricular outflow tract obstruction simulating hypertrophic cardiomyopathy in a patient with primary AL-type amyloid heart disease.一名原发性AL型淀粉样变心脏病患者出现动态左心室流出道梗阻导致晕厥,酷似肥厚型心肌病。
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[Primary generalized amyloidosis with restrictive cardiomyopathy and severe chronic cardiac insufficiency].原发性全身性淀粉样变性伴限制性心肌病和严重慢性心功能不全
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[The rapid progress of heart failure due to systemic amyloidosis with cardiac involvement--case report].[系统性淀粉样变性伴心脏受累所致心力衰竭的快速进展——病例报告]
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引用本文的文献

1
Analysis of Cardiac Amyloidosis Progression Using Model-Based Markers.使用基于模型的标志物分析心脏淀粉样变性的进展
Front Physiol. 2020 Apr 30;11:324. doi: 10.3389/fphys.2020.00324. eCollection 2020.
2
Rare presentation of primary (AL) amyloidosis as gastrointestinal hemorrhage without systemic involvement.原发性(AL)淀粉样变性罕见地表现为无全身受累的胃肠道出血。
World J Gastrointest Endosc. 2014 Apr 16;6(4):144-7. doi: 10.4253/wjge.v6.i4.144.