Document Detail


Clinical significance of histopathologic patterns of cardiac amyloidosis.
MedLine Citation:
PMID:  6748745     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiac amyloidosis may be asymptomatic or an important cause of progressive heart failure and refractory arrhythmia. To identify the morphologic markers of clinically significant cardiac amyloidosis, we analyzed the hearts of 47 patients with autopsy-proven cardiac amyloidosis (21 with primary amyloidosis [AL] and 26 with senile cardiac amyloidosis [SCA]) histologically for the extent and pattern of amyloid deposits. The extent of amyloid deposition was graded 1 through 4, corresponding with less than 10%, 10 to 25%, 26 to 50%, and more than 50% histologic involvement of the myocardium, respectively. The pattern of deposits was classified as nodular, perifiber, or mixed type, and the presence or absence of vascular involvement was determined. The hearts with primary amyloidosis showed predominantly high-grade deposits (76% grades 3 and 4), a perifiber (65%) or mixed (30%) pattern of deposits, and frequent (90%) vascular involvement. The hearts with senile cardiac amyloidosis tended to have low-grade deposits (62% grades 1 and 2), a nodular pattern (92%) of deposits, and infrequent (4%) vascular involvement. Clinically significant cardiac amyloidosis was associated with grade 2 or greater amyloid deposits in the heart and with involvement of intramyocardial arterioles.
Authors:
T J Smith; R A Kyle; J T Lie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  59     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-09-10     Completed Date:  1984-09-10     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  547-55     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Amyloid / analysis
Amyloidosis / metabolism,  pathology*
Cardiomyopathies / metabolism,  pathology*
Coronary Vessels / pathology
Death, Sudden / etiology
Female
Heart Failure / etiology
Humans
Male
Middle Aged
Myocardium / analysis,  ultrastructure
Pericardium / analysis
Chemical
Reg. No./Substance:
0/Amyloid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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