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心脏淀粉样变是一种常见的病理现象,病变广泛者出现临床症状,54%有充血性心力衰竭.由于心脏淀粉样变占非缺血性心肌病的5%~10%,因此,在临床上受到日益重视.本文报道10例心脏淀粉样变患者的~(99m)锝-焦磷酸盐心肌扫描及其他非侵入性检查,认为有助于其诊断.方法:10例弥漫性淀粉样变而冠状动脉和心肌均无异常的患者(其中8例经活检,2例经尸检证实),用M-型超声心动图测定左室大小和室壁厚
Cardiac amyloidosis is a common pathological phenomenon, the clinical symptoms of extensive lesions, 54% of congestive heart failure due to cardiac amyloidosis accounted for 5% to 10% of non-ischemic cardiomyopathy, therefore, in clinical (99m) technetium-pyrophosphate myocardial scan and other noninvasive examination in 10 patients with cardiac amyloidosis, which are helpful to its diagnosis.Methods: Ten patients with diffuse amyloidosis Coronary and cardiac muscle were normal in patients (8 patients were biopsied, 2 confirmed by autopsy), using M-mode echocardiography to determine left ventricular size and wall thickness