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正>患者,男性,58岁。因“突发心悸、气短1天”收入我院心内科。既往有“胆囊炎”病史。入院查体:T 36.5℃,P 100次/分,R 20次/分,BP 130/78 mm Hg;双侧颈静脉怒张,双下肺闻及湿啰音,心律不齐,心率:120次/分。心界向左下扩大,二尖瓣听诊区闻及2/6收缩期杂音,双下肢轻度浮肿。辅助检查:肌钙蛋白Ⅰ定量0.049 ng/m L
N端脑利钠肽1230.00 pg/ml。心电图提示快速型房颤,ST段抬高(V
4
、V
5
)
T波改变(Ⅱ、Ⅲ、aVF),考虑急性心力衰竭,给予利尿、减慢心室率、抗凝治疗,患者心悸、气短症状好转,双肺湿啰音消失,下肢水肿减轻。
The Joint Committee of Cardiomyopathy Specialty Alliance,National Center for Cardiovascular Diseases/Cardiovascular Precision Medicine Branch of China International Exchange and Promotive Association for Medical and Health Care.中国成人肥厚型心肌病诊断与治疗指南2023[J].中国循环杂志,2023(01).
中华医学会心血管病学分会心力衰竭学组,中华心血管病杂志编辑委员会.转甲状腺素蛋白心脏淀粉样变诊断与治疗中国专家共识[J].中华心血管病杂志,2021(04).
杨帆,黄竞舟,王智,范芳芳,龚艳君,洪涛.超声心动图诊断模型在鉴别心肌淀粉样变性与其他原因所致心肌肥厚中的应用[J].中国医学影像学杂志,2021(02).
张璐,王叶,程流泉,王晶,周肖,刘淼,张威,章明,张波,智光.左室长轴收缩期峰值应变在原发性心脏淀粉样变性与肥厚型心肌病诊断中的价值[J].南方医科大学学报,2014(05).
a Department of Geriatrics , West China Hospital, Sichuan University , Chengdu , China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,c Department of Radiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,c Department of Radiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China.,d Northeast Asia MR Collaboration , Siemens Healthcare , Shanghai , China.,e Cardiovascular Division, Department of Medicine , University of Pennsylvania , Philadelphia , PA , USA.,b Cardiology Division, Department of Cardiology , West China Hospital, Sichuan University , Chengdu , PR China..Regional amyloid distribution and impact on mortality in light-chain amyloidosis: a T1 mapping cardiac magnetic resonance study.[J].Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis,2019.
Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy. daliadinunzio@gmail.com.,Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy.,Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy.,Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy.,Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy.,Clinical and Experimental Medicine Department, Cardiology Unit, University of Messina, Azienda Ospedaliera Universitaria 'Policlinico G. Martino,' Via Consolare Valeria 1, 98125, Messina, Italy..Echocardiographic Findings in Cardiac Amyloidosis: Inside Two-Dimensional, Doppler, and Strain Imaging.[J].Current cardiology reports,2019.
Chun Xiang Tang,Steffen E. Petersen,Mihir M. Sanghvi,Guang Ming Lu,Long Jiang Zhang.Cardiovascular Magnetic Resonance Imaging for Amyloidosis: The State-of-the-Art[J].Trends in Cardiovascular Medicine,2018.
Ana Martinez-Naharro,Thomas A. Treibel,Amna Abdel-Gadir,Heerajnarain Bulluck,Giulia Zumbo,Daniel S. Knight,Tushar Kotecha,Rohin Francis,David F. Hutt,Tamer Rezk,Stefania Rosmini,Candida C. Quarta,Carol J. Whelan,Peter Kellman,Julian D. Gillmore,James C. Moon,Philip N. Hawkins,Marianna Fontana.Magnetic Resonance in Transthyretin Cardiac Amyloidosis[J].Journal of the American College of Cardiology,2017.
Zhang Lu,Zhou Xiao,Wang Jing,Mu Yang,Liu Bohan,Lv Wenqing,Wang Ye,Liu Hongwei,Liu Hongbin,Zhi Guang.Differentiation of light-chain cardiac amyloidosis from hypertrophic cardiomyopathy using myocardial mechanical parameters by velocity vector imaging echocardiography.[J].The international journal of cardiovascular imaging,2017.
Gillmore Julian D,Maurer Mathew S,Falk Rodney H,Merlini Giampaolo,Damy Thibaud,Dispenzieri Angela,Wechalekar Ashutosh D,Berk John L,Quarta Candida C,Grogan Martha,Lachmann Helen J,Bokhari Sabahat,Castano Adam,Dorbala Sharmila,Johnson Geoff B,Glaudemans Andor W J M,Rezk Tamer,Fontana Marianna,Palladini Giovanni,Milani Paolo,Guidalotti Pierluigi L,Flatman Katarina,Lane Thirusha,Vonberg Frederick W,Whelan Carol J,Moon James C,Ruberg Frederick L,Miller Edward J,Hutt David F,Hazenber.Nonbiopsy Diagnosis of Cardiac Transthyretin Amyloidosis.[J].Circulation,2016.
Jinghan Huang,Shihua Zhao,Zaijiang Chen,Shu Zhang,Minjie Lu.Contribution of Electrocardiogram in the Differentiation of Cardiac Amyloidosis and Nonobstructive Hypertrophic Cardiomyopathy[J].International Heart Journal,2015.
Gustavsson Sandra,Granåsen Gabriel,Grönlund Christer,Wiklund Urban,Mörner Stellan,Henein Michael,Suhr Ole B,Lindqvist Per.Can echocardiography and ECG discriminate hereditary transthyretin V30M amyloidosis from hypertrophic cardiomyopathy?[J].Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis,2015.
Elliott Perry M,Anastasakis Aris,Borger Michael A,Borggrefe Martin,Cecchi Franco,Charron Philippe,Hagege Albert Alain,Lafont Antoine,Limongelli Giuseppe,Mahrholdt Heiko,McKenna William J,Mogensen Jens,Nihoyannopoulos Petros,Nistri Stefano,Pieper Petronella G,Pieske Burkert,Rapezzi Claudio,Rutten Frans H,Tillmanns Christoph,Watkins Hugh.2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC).[J].European heart journal,2014.
Iacopo Olivotto,Francesca Girolami,Michael J. Ackerman,Stefano Nistri,J. Martijn Bos,Elisabetta Zachara,Steve R. Ommen,Jeanne L. Theis,Rachael A. Vaubel,Federica Re,Corinna Armentano,Corrado Poggesi,Francesca Torricelli,Franco Cecchi.Myofilament Protein Gene Mutation Screening and Outcome of Patients With Hypertrophic Cardiomyopathy[J].Mayo Clinic Proceedings,2008.
Murtagh Blaithnead,Hammill Stephen C,Gertz Morie A,Kyle Robert A,Tajik A Jamil,Grogan Martha.Electrocardiographic findings in primary systemic amyloidosis and biopsy-proven cardiac involvement.[J].The American journal of cardiology,2005.
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