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Angina with a normal coronary angiogram caused by amyloidosis
  1. D C Whitaker1,
  2. M F Tungekar2,
  3. J E Dussek1
  1. 1Department of Cardiothoracic Surgery, Guy’s Hospital, London, UK
  2. 2St Thomas’s Hospital, Lambeth Palace Road, London, UK
  1. Correspondence to:
    Mr Donald C Whitaker
    Department of Cardiothoracic Surgery, 6th Floor, New Guy’s House, Guy’s Hospital, St Thomas Street, London SE1 9RT, UK; donaldcdoctors.org.uk

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.

  • amyloidosis
  • angina
  • coronary artery disease

https://doi.org/10.1136/hrt.2004.038984

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    Footnotes

    • D C Whitaker is the guarantor.

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