Angina with a normal coronary angiogram caused by amyloidosis
Open Access
- 1 September 2004
- Vol. 90 (9) , e54
- https://doi.org/10.1136/hrt.2004.038984
Abstract
A case of severe intractable angina pectoris with normal angiography is presented. Following video assisted thoracic sympathectomy the patient died of heart failure. Microvascular cardiac amyloidosis was diagnosed at the postmortem examination. This report alerts clinicians to this possible diagnosis when treating patients with severe angina when no cause is found and discusses the poor prognosis in such cases.Keywords
This publication has 9 references indexed in Scilit:
- Amyloidosis of epicardial and intramural coronary arteries as an unusual cause of myocardial infarction and refractory angina pectoris.2002
- Cardiac Amyloidosis Presenting as Microvascular AnginaAngiology, 2001
- Symptomatic ischemic heart disease resulting from obstructive intramural coronary amyloidosisThe American Journal of Medicine, 2000
- Systemic Amyloidosis Presenting with Angina PectorisAnnals of Internal Medicine, 1999
- Video-assisted thoracoscopic sympathectomy for severe intractable angina*1European Journal of Cardio-Thoracic Surgery, 1999
- Myocardial ischemia due to vascular systemic amyloidosis: A quantitative analysis of autopsy findings on stenosis of the intramural coronary arteriesPathology International, 1996
- Angina pectoris and normal coronary arteriograms: Clinical presentation and hemodynamic characteristicsThe American Journal of Cardiology, 1995
- Amyloidosis and endomyocardial biopsy: Correlation of extent and pattern of deposition with amyloid immunophenotype in 100 casesCardiovascular Pathology, 1995
- The Clinical Problem of Occult Cardiac AmyloidosisAmerican Journal of Forensic Medicine & Pathology, 1992