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2017 ; 56
(3
): 315-319
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The Imaging Diagnosis of Less Advanced Cases of Cardiac Amyloidosis: The Relative
Apical Sparing Pattern
#MMPMID28154276
Ono K
; Ishimaru G
; Hayashi M
; Bae Y
; Ito T
; Izumo T
; Murata K
Intern Med
2017[]; 56
(3
): 315-319
PMID28154276
show ga
An early diagnosis is important for improving the prognosis of cardiac
amyloidosis (CA). We herein describe the utility of two-dimensional speckle
tracking echocardiography (2-D STE) in diagnosing CA at a less advanced stage. A
63-year-old woman with exertional dyspnea was suspected of having CA based on her
echocardiographic and electrocardiographic findings. A myocardial biopsy was
negative for amyloid deposits, while the relative apical sparing pattern was
detected on 2-D STE, which was highly suggestive of CA. Chemotherapy was
initiated as a treatment for CA, and the patient's symptoms were immediately
relieved. Thereafter, amyloid deposits were detected in a skin biopsy specimen.