| 1 | 很快进步的心脏的淀粉样变性病的一个不正常的演讲的 Echocardiographic 特征显示文摘 We present the case of a 66 year old male who presented with dyspnea and reduced exercise tolerance. Echocardiography demonstrated impaired left ventricular (LV) function and restrictive diastolic function with pronounced concentric left ventricular hypertrophy (LVH) without a history of hypertension and no aortic valve stenosis. Differential diagnostics of concentric LVH are discussed in detail. In the current case, cardiac amyloidosis (AL) amyloidosis was diagnosed and confirmed by serum amyloid P (SAP) scintigraphy and abdominal fat aspiration biopsy. This case shows the rapid decline in clinical condition with progression of cardiac involvement of AL. As discussed in detail, cardiac involvement in AL-amyloidosis generally denotes a poor prognosis, regardless of the method of treatment. | Jasper J Brugts Jaco Houtgraaf Bouke PC Hazenberg Marcel JM Kofflard | 2013 | World Journal of Cardiology2013，5，5： | 6 |
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