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Ischemic Hepatitis as the Presenting Manifestation of Cardiac Amyloidosis.

Petz CA, Todoran T, Rockey DC - J Investig Med High Impact Case Rep (2014)

Bottom Line: Underlying cardiac dysfunction, an important clinical clue, is often overlooked as a cause of hypoxic hepatitis, and understanding the interdependence of the heart and liver is crucial in making this diagnosis.Causes of cardiac dysfunction may include any of many different diagnoses; infiltrative heart disease is a rare cause of cardiac dysfunction, with amyloidosis being the most common among this category of pathologies.More advanced imaging techniques have improved the ability to diagnose infiltrative heart disease, thus allowing quicker diagnosis of conditions such as amyloidosis.

View Article: PubMed Central - PubMed

Affiliation: Riverside Methodist Hospital, Columbus, OH, USA.

ABSTRACT
An abrupt elevation in aminotransferases without clear etiology may be attributed to hypoxic hepatitis. Underlying cardiac dysfunction, an important clinical clue, is often overlooked as a cause of hypoxic hepatitis, and understanding the interdependence of the heart and liver is crucial in making this diagnosis. Causes of cardiac dysfunction may include any of many different diagnoses; infiltrative heart disease is a rare cause of cardiac dysfunction, with amyloidosis being the most common among this category of pathologies. More advanced imaging techniques have improved the ability to diagnose infiltrative heart disease, thus allowing quicker diagnosis of conditions such as amyloidosis.

No MeSH data available.


Related in: MedlinePlus

Electrocardiogram.This electrocardiogram reveals a number of conduction defects including a right bundle branch block, left anterior fasicular block, and a first-degree atrioventricular block. It also shows inferior Q waves and T wave inversions in lead I, aVL, and V3.
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fig1-2324709614558064: Electrocardiogram.This electrocardiogram reveals a number of conduction defects including a right bundle branch block, left anterior fasicular block, and a first-degree atrioventricular block. It also shows inferior Q waves and T wave inversions in lead I, aVL, and V3.

Mentions: The patient’s electrocardiogram (ECG; Figure 1) revealed multiple conduction defects including a right bundle branch block, left anterior fascicular block, and a first-degree atrioventricular block. He also had inferior Q waves and T wave inversions in leads I, aVL, and V3. These findings along with the conduction defects were all seen on previous ECGs. Review of prior records indicated that he had a left heart catheterization about 18 months prior to this admission. At that time was found to have nonobstructive coronary disease.


Ischemic Hepatitis as the Presenting Manifestation of Cardiac Amyloidosis.

Petz CA, Todoran T, Rockey DC - J Investig Med High Impact Case Rep (2014)

Electrocardiogram.This electrocardiogram reveals a number of conduction defects including a right bundle branch block, left anterior fasicular block, and a first-degree atrioventricular block. It also shows inferior Q waves and T wave inversions in lead I, aVL, and V3.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4528876&req=5

fig1-2324709614558064: Electrocardiogram.This electrocardiogram reveals a number of conduction defects including a right bundle branch block, left anterior fasicular block, and a first-degree atrioventricular block. It also shows inferior Q waves and T wave inversions in lead I, aVL, and V3.
Mentions: The patient’s electrocardiogram (ECG; Figure 1) revealed multiple conduction defects including a right bundle branch block, left anterior fascicular block, and a first-degree atrioventricular block. He also had inferior Q waves and T wave inversions in leads I, aVL, and V3. These findings along with the conduction defects were all seen on previous ECGs. Review of prior records indicated that he had a left heart catheterization about 18 months prior to this admission. At that time was found to have nonobstructive coronary disease.

Bottom Line: Underlying cardiac dysfunction, an important clinical clue, is often overlooked as a cause of hypoxic hepatitis, and understanding the interdependence of the heart and liver is crucial in making this diagnosis.Causes of cardiac dysfunction may include any of many different diagnoses; infiltrative heart disease is a rare cause of cardiac dysfunction, with amyloidosis being the most common among this category of pathologies.More advanced imaging techniques have improved the ability to diagnose infiltrative heart disease, thus allowing quicker diagnosis of conditions such as amyloidosis.

View Article: PubMed Central - PubMed

Affiliation: Riverside Methodist Hospital, Columbus, OH, USA.

ABSTRACT
An abrupt elevation in aminotransferases without clear etiology may be attributed to hypoxic hepatitis. Underlying cardiac dysfunction, an important clinical clue, is often overlooked as a cause of hypoxic hepatitis, and understanding the interdependence of the heart and liver is crucial in making this diagnosis. Causes of cardiac dysfunction may include any of many different diagnoses; infiltrative heart disease is a rare cause of cardiac dysfunction, with amyloidosis being the most common among this category of pathologies. More advanced imaging techniques have improved the ability to diagnose infiltrative heart disease, thus allowing quicker diagnosis of conditions such as amyloidosis.

No MeSH data available.


Related in: MedlinePlus