Angina with a normal coronary angiogram caused by amyloidosis
Angina with a normal coronary angiogram caused by amyloidosis
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DOI：
10.1136/hrt.2004.038984
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发表时间：
2004-09-01
期刊：
影响因子：
5.7
通讯作者：
Dussek, JE
中科院分区：
文献类型：
--
作者：
Whitaker, DC;Tungekar, MF;Dussek, JE
本文报告一例血管造影正常的严重顽固性心绞痛。在视频辅助胸椎交感神经切除术后，患者死于心力衰竭。尸检诊断为心脏微血管淀粉样变性。本报告提醒临床医生在治疗未发现病因的严重心绞痛患者时注意这种可能的诊断，并讨论了这种情况下的不良预后。
A case of severe intractable angina pectoris with normal angiography is presented. Following video assisted thoracic sympathectomy the patient died of heart failure. Microvascular cardiac amyloidosis was diagnosed at the postmortem examination. This report alerts clinicians to this possible diagnosis when treating patients with severe angina when no cause is found and discusses the poor prognosis in such cases.