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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.

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。

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