Abstract:
:Cardiac amyloidosis usually presents with heart failure, but rarely leads to coronary insufficiency. The authors report a case of a 69-year-old Japanese woman with cardiac amyloidosis presenting as microvascular angina. She had exertional angina with positive exercise test and normal coronary angiograms. However, heart failure developed, and she died 3 years after symptom onset. On autopsy, coronary arteries were patent. In contrast to that of the epicardial coronary arteries, histologic examination of the heart revealed severe obstructive alterations of the intramural coronary arteries with amyloid. Furthermore, amyloid was present mainly in the endocardium and the intramural coronary arteries, but there was little present in the myocardium. This case was a rare AL amyloidosis. There have been only 4 reported cases of cardiac amyloidosis that presented with exertional angina, a positive exercise test, and normal coronary angiograms and histologic examination.
journal_name
Angiologyjournal_title
Angiologyauthors
Ogawa H,Mizuno Y,Ohkawara S,Tsujita K,Ando Y,Yoshinaga M,Yasue Hdoi
10.1177/000331970105200407subject
Has Abstractpub_date
2001-04-01 00:00:00pages
273-8issue
4eissn
0003-3197issn
1940-1574journal_volume
52pub_type
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