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01121 Journal of Nara Medical Association >
Vol.45 No.4 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/1639
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Title: | 特発性拘束型心筋症の1症例 |
Other Titles: | A CASE OF IDIOPATHIC RESTRICTIVE CARDIOMYOPATHY |
Authors: | 酢谷, 俊夫 坂口, 泰弘 赤井, 真弓 橋本, 俊雄 籠島, 忠 土肥, 和紘 |
Keywords: | congestive heart failure dip and plateau idiopathic restrictive cardiomyopathy myocardial biopsy |
Issue Date: | 31-Aug-1994 |
Publisher: | 奈良医学会 |
Citation: | 奈良医学雑誌 Vol.45 No.4 p.353-359 |
Abstract: | Most cases of restrictive cardiomyopathy (RCM) are caused by cardiac amyloidosis, cardiac hemochromatosis and endocardial fibrosis as the sequela of tropical or nontropical hypereosinophilia or endocardial fibroelastosis. We present herein a case of
idiopathic RCM diagnosed by echocardiogram, cardiac catheterization and myocardial biopsy. This patient was a 33-year-old woman. She had been suffering from dyspnea on
effort, abdominal fullness and pretibial edema. Persistent atrial fibrillation was seen on electrocardiogram and increase of cardiotrachic ratio (58.6%) on chest X-ray was seen on admission. Echocardiogram revealed a decrease of left ventricular diastolic properties with no decrease of left ventricular ejction fraction. Cardiac catheterization revealed an early diastolic dip and plateau pattern and increased end-diastolic pressure of both ventricles. A
myocardial biopsy from the right ventricular wall disclosed mild hypertrophy of myocytes, interstitial fibrosis and endocardial thickening without the deposition of amyloid and hemosiderin. |
URI: | http://hdl.handle.net/10564/1639 |
ISSN: | 04695550 13450069 |
Appears in Collections: | Vol.45 No.4
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