Cardiac Amyloidosis Presenting With Myocardial Ischemia: Case Report and Literature Review

Francisco Alvarez Keller, Peiman Jamshidi, Bart De Boeck, Katharina Glatz, Miriam Nowack

Abstract


We present a 65-year-old woman with a history of exercise-induced retrosternal pain and dyspnea. Both coronary angiography and CMR imaging showed evidence of microvascular dysfunction. After several admissions with acute coronary syndrome and heart failure, a myocardial biopsy was performed which revealed abundant AL amyloid deposits. We present this case in detail and review articles.




J Med Cases. 2016;7(12):531-535
doi: https://doi.org/10.14740/jmc2648w


Keywords


Cardiac amyloidosis; Myocardial ischemia; Microvascular dysfunction; Heart failure

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