Amyloidosis With Cardiac Involvement
A 59-year-old woman was admitted because of lethargy. She had been treated for heart failure for 5 years before admission, which progressed to include lower-extremity edema as well as orthopnea and nocturnal dyspnea.
On the basis of our findings (Figs 1 through 4⇓⇓⇓⇓), the diagnosis of amyloidosis with cardiac involvement was confirmed. Placement of a permanent pacemaker (VVI type) for the treatment of complete atrioventricular block resulted in marked improvement in dyspnea and lethargy.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1–267, Houston, TX 77030.
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