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Case 3/2014--81-year-old patient hospitalized for decompensated heart failure.

Madaloso BA, Gutierrez PS - Arq. Bras. Cardiol. (2014)

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

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JJSA is an 81-year-old male patient hospitalized for decompensated heart failure... arterial pressure of 90/70 mmHg... Chest auscultation revealed decreased breath sounds at the The patient underwent cardioversion and sinus rhythm was maintained (Figure 4) with amiodarone (600 mg daily)... The dyspnea ameliorated and the patient remained hemodynamically stable... The patient always experienced dyspnea on moderate exertion and there were several episodes 66 mg/dL, glucose 78 mg/dL, and PT-INR 1.6... The urinalysis results were as follows: density An 81-year-old man hospitalized for worsening dyspnea... scintigraphy has an important role as it diagnoses 30%-50% cases, although it may have a high rate of inconclusive results... Amyloid deposition was very significant in vessel walls... The bone marrow sample analyzed during autopsy did not exhibit plasmocyte proliferation; however, we cannot

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Histological section of the epicardium showing amyloid deposit indicated byarrows. Hematoxylin and eosin staining. Objective magnification: 40×.
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f07: Histological section of the epicardium showing amyloid deposit indicated byarrows. Hematoxylin and eosin staining. Objective magnification: 40×.

Mentions: At autopsy, the heart was heavy and enlarged; however, the chambers appeared normal.Microscopic examination showed that the primary disease was amyloidosis. This conditionaffected the myocardium (Figure 6) and thepericardium (Figure 7). In particular,obstructions were observed in the vascular tree of both coronary arteries, leading tothe formation of areas of myocardial fibrosis. In addition, obstructions of the vesselssupplying the pulmonary artery, and the aorta (vessels of the vasavasorum) and of renal vessels were noted.


Case 3/2014--81-year-old patient hospitalized for decompensated heart failure.

Madaloso BA, Gutierrez PS - Arq. Bras. Cardiol. (2014)

Histological section of the epicardium showing amyloid deposit indicated byarrows. Hematoxylin and eosin staining. Objective magnification: 40×.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126765&req=5

f07: Histological section of the epicardium showing amyloid deposit indicated byarrows. Hematoxylin and eosin staining. Objective magnification: 40×.
Mentions: At autopsy, the heart was heavy and enlarged; however, the chambers appeared normal.Microscopic examination showed that the primary disease was amyloidosis. This conditionaffected the myocardium (Figure 6) and thepericardium (Figure 7). In particular,obstructions were observed in the vascular tree of both coronary arteries, leading tothe formation of areas of myocardial fibrosis. In addition, obstructions of the vesselssupplying the pulmonary artery, and the aorta (vessels of the vasavasorum) and of renal vessels were noted.

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

JJSA is an 81-year-old male patient hospitalized for decompensated heart failure... arterial pressure of 90/70 mmHg... Chest auscultation revealed decreased breath sounds at the The patient underwent cardioversion and sinus rhythm was maintained (Figure 4) with amiodarone (600 mg daily)... The dyspnea ameliorated and the patient remained hemodynamically stable... The patient always experienced dyspnea on moderate exertion and there were several episodes 66 mg/dL, glucose 78 mg/dL, and PT-INR 1.6... The urinalysis results were as follows: density An 81-year-old man hospitalized for worsening dyspnea... scintigraphy has an important role as it diagnoses 30%-50% cases, although it may have a high rate of inconclusive results... Amyloid deposition was very significant in vessel walls... The bone marrow sample analyzed during autopsy did not exhibit plasmocyte proliferation; however, we cannot

Show MeSH
Related in: MedlinePlus