© 2002 by Heart
CASE REPORT
Diagnosis of amyloidosis by histological examination of subcutaneous fat sampled at the time of pacemaker implantation
1 Department of Cardiology, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK
2 National Amyloidosis Centre, Department of Medicine, Royal Free Hospital, London NW3 2PF, UK
Correspondence to:
Correspondence to:
Dr Guy Gribbin, Department of Cardiology, James Cook University Hospital,, Middlesborough TS4 3BW, UK;
g.m.gribbin{at}ncl.ac.uk
Atrioventricular conduction disease may occur in a range of conditions. If echocardiography suggests the presence of an infiltrative cardiomyopathy the diagnosis of amyloidosis may be confirmed by subcutaneous fat sampling from the site of pacemaker implantation. This technique requires no additional invasive procedure and confers no extra risk for the patient. Confirmation of amyloidosis provides important prognostic information and may allow specific treatment.
Keywords: amyloidosis; fat sampling
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Heart 2002 87: 592.
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