雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A case of cardiac amyloidosis with Adams-Stokes seizure Hiromoto Nagahara 1 , Hideki Kodaka 1 , Masaki Kobayashi 1 , Toshiyuki Iwamoto 2 1The Department of Internal Medicine, Uji Tokushukai Hospital 2The Department of Pathology, Hiroshima Railway Hospital pp.1277-1281
Published Date 1985/10/15
DOI https://doi.org/10.11477/mf.1404204763
  • Abstract
  • Look Inside

The diagnosis of cardiac amyloidosis is often difficult during life. Because of marked clinical and hemodynamic similarities to other cardiac disease, the diagnosis may remain observed even after clinically significant cardiovascular decompen-sation occurs. Presiously we reported that cardiacechocardiogram play an important role of its diagnosis and differentiation from other cardiac disease. Namely characteristic findings of cardiac amyloidosis by echocardiogram is, 1) Significant symmetrical LV hypertrophy. 2) Reduced septal and posterior LV wall motion. 3) Highly reflective echoes throughout the myocardium in strongly infiltrated case. This time, we experienced a case of cardiac amyloidosis detected by this method. A 77 years old woman was admitted with complaints of drowsy consciousness, dyspnea & cold sweat. An electrocardiogram showed a complete A-V block right axis deviation & QS pattern in V1-4. A chest X-ray film revealed large pleural effusion cardiomegaly. An echocardiography demonstrat-ed significant symmetrical LV hypertrophy, mark-edly reduced septal and posterior LV wall motion, high density echoes in LA wall & slightly peri-cardial effusion behind the posterior LV wall. After admission, she was recovered successfuly and doing well but suddenly died of venticular fibril-lation.


Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

関連文献

もっと見る

文献を共有