Rameev V V, Kozlovskaia L V, Zhdanova E A, Gudkova K V
Ter Arkh. 2013;85(6):51-9.
The paper gives current general data on the structure of amyloid fibril and the principles in the classification of amyloidosis, information on the clinical course of cardiac and renal involvements in systemic AL and AA amyloidosis, and that on diagnostic and prognostic criteria and the specific features of cardiorenal links. The authors draw the conclusion that the identification of acute and chronic cardiorenal links is of practical value for systemic amyloidosis. Cardiorenal and renocardiac syndromes are not always differentiated clearly in the systemacy of involvement.
本文给出了关于淀粉样纤维结构的当前一般数据以及淀粉样变性的分类原则,关于系统性AL和AA淀粉样变性中心脏和肾脏受累的临床病程信息,以及关于诊断和预后标准以及心肾联系的具体特征的信息。作者得出结论,识别急性和慢性心肾联系对系统性淀粉样变性具有实际价值。在受累系统中,心肾综合征和肾心综合征并不总是能清楚地区分。