Dalvi B V, Pinto R, Vora I M, Munsi S C, Vengsarkar A S
Indian Heart J. 1989 Sep-Oct;41(5):341-3.
A 75-year-old male patient presented with resistant congestive cardiac failure. Echocardiographic examination revealed normal left ventricular size with symmetrical hypertrophy and generalised hypokinesia. In addition, there was a characteristic granular sparkling appearance of the myocardium. Cardiac catheterization showed biventricular diastolic restriction with normal coronary arteries. Possibility of cardiac amyloid was considered, and the diagnosis was confirmed on rectal biopsy.
一名75岁男性患者出现难治性充血性心力衰竭。超声心动图检查显示左心室大小正常,伴有对称性肥厚和普遍性运动减弱。此外,心肌有特征性的颗粒状闪烁外观。心导管检查显示双心室舒张受限,冠状动脉正常。考虑到心脏淀粉样变的可能性,经直肠活检确诊。