Double cardiomyopathy: coexistent cardiac amyloidosis and hypertrophic obstructive cardiomyopathy.

Autor: Buchanan WP; Department of Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157., Schreiter SW, Kahl FR, Lantz PE, Cheek HB, Risley J, Nomeir AM
Jazyk: angličtina
Zdroj: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography [J Am Soc Echocardiogr] 1993 Jan-Feb; Vol. 6 (1), pp. 87-90.
DOI: 10.1016/s0894-7317(14)80261-7
Abstrakt: A combination of hypertrophic obstructive cardiomyopathy (HOCM) and cardiac amyloidosis in the same patient is very rare. Clinical diagnosis could be extremely difficult and may require myocardial biopsy. We are reporting a patient with this combination who was referred to our institution because of features of HOCM based on clinical, echocardiographic and Doppler criteria. Cardiac amyloidosis was only recognized after myocardial biopsy that failed to reveal evidence of HOCM. Only after the patient expired from severe, intractable heart failure did the autopsy findings confirm the association of HOCM. We believe that the combination of the two cardiomyopathic processes is very rare and makes treatment extremely difficult.
Databáze: MEDLINE