Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis

Left ventricular hypertrophy, atrial fibrillation and chronic heart failure are often in the practice of a cardiologist. The etiology of these conditions is very important because the correct early treatment. We are presenting a case of a late diagnosis of amyloidosis in a 53-year-old man. Despite t...

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Main Authors: E. V. Reznik, V. A. Lazarev, S. V. Borisovskay, G. N. Golukhov
Format: Article
Language:Russian
Published: SINAPS LLC 2021-11-01
Series:Архивъ внутренней медицины
Subjects:
Online Access:https://www.medarhive.ru/jour/article/view/1337
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author E. V. Reznik
V. A. Lazarev
S. V. Borisovskay
G. N. Golukhov
author_facet E. V. Reznik
V. A. Lazarev
S. V. Borisovskay
G. N. Golukhov
author_sort E. V. Reznik
collection DOAJ
description Left ventricular hypertrophy, atrial fibrillation and chronic heart failure are often in the practice of a cardiologist. The etiology of these conditions is very important because the correct early treatment. We are presenting a case of a late diagnosis of amyloidosis in a 53-year-old man. Despite the complex therapy, the course of the disease was complicated by the development of bilateral pneumonia, sepsis, disseminated intravascular coagulation and the patient died. Autopsy confirmed the diagnosis of systemic AL-amyloidosis (type Kappa) with massive damage to the heart, kidneys, lungs, liver, spleen, adrenal glands, thyroid gland, pancreas, gastrointestinal tract, subcutaneous fatty tissue and arterial vessels of the bone marrow. Thus, screening for amyloidosis is necessary in idiopathic LV thickening, atrial fibrillation, and heart failure for timely intravital diagnosis and therapy.
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spelling doaj.art-d466aaf336014813918f3666f8831a7e2023-03-13T07:12:10ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642021-11-0111645746510.20514/2226-6704-2021-11-6-457-465871Atrial Fibrillation and Heart Failure as the Onset of AL-AmyloidosisE. V. Reznik0V. A. Lazarev1S. V. Borisovskay2G. N. Golukhov3ФГАОУ ВО РНИМУ им. Н.И. Пирогова МЗ РФ; ГБУЗ ГКБ им. В.М. Буянова ДЗМ; ГКБ № 31 ДЗМФГАОУ ВО РНИМУ им. Н.И. Пирогова МЗ РФ; ГБУЗ ГКБ им. В.М. Буянова ДЗМФГАОУ ВО РНИМУ им. Н.И. Пирогова МЗ РФ; ГБУЗ ГКБ им. В.М. Буянова ДЗМГКБ № 31 ДЗМLeft ventricular hypertrophy, atrial fibrillation and chronic heart failure are often in the practice of a cardiologist. The etiology of these conditions is very important because the correct early treatment. We are presenting a case of a late diagnosis of amyloidosis in a 53-year-old man. Despite the complex therapy, the course of the disease was complicated by the development of bilateral pneumonia, sepsis, disseminated intravascular coagulation and the patient died. Autopsy confirmed the diagnosis of systemic AL-amyloidosis (type Kappa) with massive damage to the heart, kidneys, lungs, liver, spleen, adrenal glands, thyroid gland, pancreas, gastrointestinal tract, subcutaneous fatty tissue and arterial vessels of the bone marrow. Thus, screening for amyloidosis is necessary in idiopathic LV thickening, atrial fibrillation, and heart failure for timely intravital diagnosis and therapy.https://www.medarhive.ru/jour/article/view/1337амилоидоз сердцаамилоидная кардиомиопатияхроническая сердечная недостаточность с сохраненной фракцией выброса левого желудочкафибрилляция предсердийгипертрофия левого желудочкахроническая болезнь почекпротеинуриянефротический синдромкардиоренальный синдром
spellingShingle E. V. Reznik
V. A. Lazarev
S. V. Borisovskay
G. N. Golukhov
Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
Архивъ внутренней медицины
амилоидоз сердца
амилоидная кардиомиопатия
хроническая сердечная недостаточность с сохраненной фракцией выброса левого желудочка
фибрилляция предсердий
гипертрофия левого желудочка
хроническая болезнь почек
протеинурия
нефротический синдром
кардиоренальный синдром
title Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
title_full Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
title_fullStr Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
title_full_unstemmed Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
title_short Atrial Fibrillation and Heart Failure as the Onset of AL-Amyloidosis
title_sort atrial fibrillation and heart failure as the onset of al amyloidosis
topic амилоидоз сердца
амилоидная кардиомиопатия
хроническая сердечная недостаточность с сохраненной фракцией выброса левого желудочка
фибрилляция предсердий
гипертрофия левого желудочка
хроническая болезнь почек
протеинурия
нефротический синдром
кардиоренальный синдром
url https://www.medarhive.ru/jour/article/view/1337
work_keys_str_mv AT evreznik atrialfibrillationandheartfailureastheonsetofalamyloidosis
AT valazarev atrialfibrillationandheartfailureastheonsetofalamyloidosis
AT svborisovskay atrialfibrillationandheartfailureastheonsetofalamyloidosis
AT gngolukhov atrialfibrillationandheartfailureastheonsetofalamyloidosis