PT  - JOURNAL ARTICLE
AU  - S Saltissi
AU  - P J Kertes
AU  - D G Julian
TI  - Primary cardiac amyloidosis in a young man presenting with angina pectoris.
AID  - 10.1136/hrt.52.2.233
DP  - 1984 Aug 01
TA  - British Heart Journal
PG  - 233--236
VI  - 52
IP  - 2
4099  - http://heart.bmj.com/content/52/2/233.short
4100  - http://heart.bmj.com/content/52/2/233.full
SO  - Heart1984 Aug 01; 52
AB  - A 32 year old man presenting with typical angina pectoris was found to have primary cardiac amyloidosis. Myocardial infiltration was strongly suggested by echocardiography, and a histological diagnosis was confirmed by renal biopsy. Nevertheless, technetium pyrophosphate myocardial scanning, recently proposed as a sensitive non-invasive test, showed negative results despite widespread cardiac involvement confirmed at necropsy after unexpected sudden death. Postmortem findings also showed subintimal amyloid material in a severely narrowed right coronary artery. This case highlights several unusual clinical features in a patient with advanced primary cardiac amyloidosis.