Majumder Biswakes, Kumar Ashutosh, Dutta Gautam, Bhawani G, Ghoshdastidar Dipankar, Khandalwal Amit, Mondal Saroj
Institute of Cardiovascular Sciences, At IPGME&R, Kolkata, West Bengal, India.
Indian Heart J. 2010 Mar-Apr;62(2):171-2.
A 56 year gentleman referred to our hospital for evaluation of syncope. He was seen previously at a local clinic and treated for cardiac failure with diuretics and was doing well on medication. He started having recurrent episode of syncope. He had his last visit to the local physician three days prior to admission when he had palpitation and was prescribed digoxin in addition to the usual medicine. Patient started having syncope from 3rd day and was referred to our hospital for evaluation. Patient's electrocardiogram as well as echocardiography was a classical finding of cardiac amyloidosis and a fat pad biopsy confirmed the diagnosis. After withdrawing digoxin and after two days on pacemaker, the patient regained normal heart rate and was discharged on diuretics.
一位56岁男性因晕厥前来我院评估。他之前在当地诊所就诊，因心力衰竭接受利尿剂治疗，用药后情况良好。后来他开始反复出现晕厥。入院前三天，他最后一次去看当地医生，当时他有心悸症状，除了常规药物外，还被开了地高辛。患者从第三天开始出现晕厥，随后被转诊至我院进行评估。患者的心电图以及超声心动图显示为典型的心脏淀粉样变表现，脂肪垫活检确诊了该诊断。停用洋地黄后，在安装起搏器两天后，患者心率恢复正常，出院时继续服用利尿剂。
