Primary cardiac amyloidosis: an angiocardiographic clue to early diagnosis.

Abstract:

:Restrictive cardiomyopathy produced by primary cardiac amyloidosis may have a clinical syndrome identical to noncalcific constrictive pericarditis. We report two patients with amyloidosis and restrictive physiology who had enlarged papillary muscles shown on left ventricular angiocardiogram. Rapid volume expansion with normal saline failed to produce ventricular filling pressure equilibration as in occult constrictive pericarditis. The absence of diastolic pressure equilibration and enlarged papillary muscles may permit early diagnosis of cardiac amyloidosis.

journal_name

Ann Intern Med

authors

Maule WF,Martin RH

doi

10.7326/0003-4819-98-2-177

subject

Has Abstract

pub_date

1983-02-01 00:00:00

pages

177-80

issue

2

eissn

0003-4819

issn

1539-3704

journal_volume

98

pub_type

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