- 期刊
Cardiac Amyloidosis - A Case Report
心臟類澱粉病—病例報告
摘要
類澱粉病可能侵犯身體的任一器官。心臟一旦受到波及，其臨床表現常與類澱粉的沉積呈正相關性；從早期毫無症狀到後來呈現心臟衰竭，心律不整、心絞痛、瓣膜疾病，或侷限型心肌病變，臨床症狀有極大的個人差異，經常造成診斷上的困擾。本病例因嚴重的鬱血性心衰竭而住院。超音波心圖呈現右心室及左心室壁肥厚，心收縮不良，及典型的閃亮顆粒性心肌變化，而其心電圖卻呈低電位變化，顯示心臟類澱粉病的可能性相當大，因此以心導管檢查及心肌活體切片病理檢查加以證實。
關鍵字
無資料並列摘要
A 52-year old male patient presented with resistant congestive heart failure. Echocardiographic findings revealed increased right ventricular (RV) wall thickness in conjunction with concentric left ventricular (LV) hypertrophy, LV systolic dysfunction and a granular sparking myocardial appearance. Doppler assessment showed a restrictive LV and RV diastolic filling pattern. These echocardiographic features combined with low voltage of the electrocardiogram is highly suggestive of cardiac amyloidosis. The diagnosis was confirmed by cardiac catheterization and endomyocardial biopsy.
並列關鍵字
amyloidosis被引用紀錄
延伸閱讀
- 魏日華、董文慶、陳錦康、任勗龍（1998）。原發性心臟澱粉樣變性病。當代醫學，(301)，931-935。https://doi.org/10.29941/MT.199811.0018
- Hsu, H. C., Tsao, S. Y., Hou, S. M., Hsieh, S. W., & Yeo, Y. C. (2017). 糖尿病酮酸中毒合併心臟乳突纖維彈性瘤一病例報告. 內科學誌, 28(1), 41-46. https://doi.org/10.6314/JIMT.2017.28(1).07
- Hung, S. Y., Lion, H. H., Ger, L. P., Chen, L. K., Liu, M. C., Chung, H. M., Chou, K. J., Chen, T. H., Lin, C. K., Yang, Y., & Hsi, W. (2008). 長期血液透析病患冠狀動脈心臟病的新危險因子. Acta Nephrologica, 22(2), 97-104. https://www.airitilibrary.com/Article/Detail?DocID=10131671-200806-22-2-97-104-a
- 莊蕙蓴、楊正烽、高玲玉（1992）。家族性類澱粉多發性神經病變－一家族報告。中華民國眼科醫學會雜誌，31(3)，373-377。https://doi.org/10.30048/ACTASOS.199209.0019
- Yeh, H. H., Yang, C. C., Tung, W. F., Wang, H. F., & Tung, J. N. (2006). 年青型中風，心臓黏液瘤及多發性栓塞：病例報告與文獻回顧. Acta Neurologica Taiwanica, 15(3), 201-205. https://doi.org/10.29819/ANT.200609.0009