Diagnosis of cardiac amyloidosis with the use of modern ultrasound techniques

E. V. Trubina, M. S. Surgutskaya
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Abstract

Amyloidosis is a systemic disease caused by accumulation of insoluble amyloid proteins in the tissues. Cardiac amyloidosis (CA) lead to a severe heart failure, which is often therapy resistant. The severity of heart failure does not correspond to the degree of decrease in systolic function of the left ventricle, since diastolic function is more impairing. Early diagnosis of cardiac amyloidosis is important due to the presence of treatment regimens for this disease nowadays. The “gold standard” for cardiac amyloidosis diagnosis is myocardial biopsy, but non-invasive diagnostic methods are also of great importance. The aim of the article is a review of the ultrasound signs of cardiac amyloidosis, including the use of modern technologies, which helps to suspect CA to provide a further examination.
利用现代超声技术诊断心脏淀粉样变性病
淀粉样变性是一种由不溶性淀粉样蛋白在组织中蓄积引起的全身性疾病。心脏淀粉样变性(CA)会导致严重的心力衰竭,而且通常具有耐药性。心力衰竭的严重程度与左心室收缩功能下降的程度并不一致,因为舒张功能受到的损害更大。心脏淀粉样变性的早期诊断非常重要,因为目前已有治疗该疾病的方案。心脏淀粉样变性诊断的 "金标准 "是心肌活检,但无创诊断方法也非常重要。本文旨在综述心脏淀粉样变性的超声征象,包括现代技术的使用,这有助于怀疑 CA 并提供进一步检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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