Case report detailing the clinical presentation and diagnostic findings of a 70-year-old man with congestive heart failure and focal amyloid deposition.
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May warrant amyloid evaluation in atypical heart failure; case report leaves open prevalence and implications of focal deposition.
A 70-year-old man was admitted to Hermann Hospital, Houston, Tex, for further evaluation of progressive dyspnea on exertion and pedal edema. He had an evaluation for congestive heart failure 18 months earlier in another city, including coronary angiography, which revealed normal coronary arteries, an echocardiogram, which showed mild left ventricular systolic dysfunction without hypertrophy or dilatation, and a myocardial biopsy reported to show focal amyloid deposition.
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Willerson et al. (1993) studied this question.
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