| The clinical problem of occult cardiac amyloidosis. Forensic implications. | |
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MedLine Citation:
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PMID: 1476128 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 68-year-old man with known coronary heart disease experienced rapidly progressive cardiac dysfunction and was found to have occult cardiac amyloidosis at autopsy. The amyloidosis was undiagnosed during life and initially at autopsy. Marked diffuse involvement of the intramural coronary arteries by amyloid deposits resulted in severe luminal compromise of numerous medium and small vessels. The myocardium proper was virtually spared from amyloid deposits. Amyloid-related coronary narrowing contributed to cardiac ischemia and sudden death. The significance of amyloid coronary disease in this patient relates primarily to the difficulty in considering the diagnosis when other reasons for cardiac signs and symptoms preexist. Also, the adverse effects of amyloid coronary disease may be profound without direct myocardial involvement. |
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Authors:
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E C Petersen; J A Engel; S J Radio; T M Canfield; B M McManus |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of forensic medicine and pathology Volume: 13 ISSN: 0195-7910 ISO Abbreviation: Am J Forensic Med Pathol Publication Date: 1992 Sep |
Date Detail:
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Created Date: 1993-02-04 Completed Date: 1993-02-04 Revised Date: 2011-02-02 |
Medline Journal Info:
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Nlm Unique ID: 8108948 Medline TA: Am J Forensic Med Pathol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 225-9 Citation Subset: IM |
Affiliation:
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Cardiovascular Registry, University of Nebraska Medical Center, Omaha 68198-6495. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Amyloidosis / complications, pathology* Cardiomyopathies / complications, pathology* Coronary Artery Disease / complications*, diagnosis Diagnosis, Differential Humans Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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