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老年转甲状腺素蛋白心脏淀粉样变性的一例罕见病例:诊断难题。

A strange case of Transthyretin Cardiac Amyloidosis in the Elderly: a diagnostic challenge.

机构信息

Department of Medico-Surgical Sciences and Biotechnologies, Cardiology Unit, ICOT Hospital, Sapienza University of Rome, Latina, Italy.

Cardiology and Cardiovascular Pathophysiology, S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.

出版信息

Clin Ter. 2023 May-Jun;174(3):235-239. doi: 10.7417/CT.2023.2526.

Abstract

Transthyretin (TTR)-related cardiac amyloidosis is a progressive infiltrative cardiomyopathy that mimics hypertensive, hypertrophic heart disease and may go undiagnosed. We here report the case of a 83-year-old woman, which has rapresented an unique case of transthyretin-related cardiac amyloidosis, as a patient with an initial diagnosis of hypertensive heart disease later develops an infiltrative cardiomyopathy due to amyloid deposits.

摘要

转甲状腺素蛋白(TTR)相关心脏淀粉样变是一种进行性浸润性心肌病,类似于高血压性、肥厚型心脏病,可能被漏诊。我们在此报告一例 83 岁女性病例,该病例为转甲状腺素蛋白相关心脏淀粉样变的一个独特案例,患者最初诊断为高血压性心脏病,后来由于淀粉样物质沉积而发展为浸润性心肌病。

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