Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis

Autor: E. V. Reznik, V. A. Lazarev, S. V. Borisovskay, G. N. Golukhov
Jazyk: ruština
Rok vydání: 2021
Předmět:
Zdroj: Архивъ внутренней медицины, Vol 11, Iss 6, Pp 457-465 (2021)
Druh dokumentu: article
ISSN: 2226-6704
2411-6564
DOI: 10.20514/2226-6704-2021-11-6-457-465
Popis: Left ventricular hypertrophy, atrial fibrillation and chronic heart failure are often in the practice of a cardiologist. The etiology of these conditions is very important because the correct early treatment. We are presenting a case of a late diagnosis of amyloidosis in a 53-year-old man. Despite the complex therapy, the course of the disease was complicated by the development of bilateral pneumonia, sepsis, disseminated intravascular coagulation and the patient died. Autopsy confirmed the diagnosis of systemic AL-amyloidosis (type Kappa) with massive damage to the heart, kidneys, lungs, liver, spleen, adrenal glands, thyroid gland, pancreas, gastrointestinal tract, subcutaneous fatty tissue and arterial vessels of the bone marrow. Thus, screening for amyloidosis is necessary in idiopathic LV thickening, atrial fibrillation, and heart failure for timely intravital diagnosis and therapy.
Databáze: Directory of Open Access Journals