Echocardiographic aspects of cardiac amyloidosis.

Abstract:

:We report the M-mode and two-dimensional echocardiographic findings in a patient with familial amyloidosis. The diagnosis was made by the clinical picture and histologic evidence of amyloid in peripheral nerve biopsy. Though the patient had no clinical sign of heart failure, extensive involvement of the heart was demonstrated by echocardiography. M-mode echocardiography revealed increased right ventricular wall thickness in conjunction with symmetric increase in left ventricular wall thickness. On two-dimensional echocardiography, the entire interventricular septum and the papillary muscles were more dense than normal. These high density echoes had a "granular and sparkling" pattern. This case shows that cardiac amyloidosis can be diagnosed in the pre-clinical, asymptomatic state by M-mode and two-dimensional echocardiography. When symptomatic, confusion with constrictive pericarditis may be avoided non-invasively.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Piérard L,Verheugt FW,Meltzer RS,Roelandt J

subject

Has Abstract

pub_date

1981-01-01 00:00:00

pages

455-61

issue

6

eissn

0001-5385

issn

1784-973X

journal_volume

36

pub_type

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