Journal of Okayama Medical Association
Published by Okayama Medical Association

<Availability>
Full-text articles are available 3 years after publication.

洞機能不全と多彩な伝導障害を呈した原発性アミロイドーシスの一例

Fujii, Akinobu
Saito, Daiji
Ohnishi, Shigeaki
Abe, Yukinori
Yoshida, Hidenori
Haraoka, Shoichi
Nagashima, Hideo
Thumnail 96_189.pdf 2.85 MB
Abstract
A case of primary systemic amyloidosis with various ECG abnormalities is reported. The ECG on admission showed low voltage in limb leads, right axis deviation, small q wave in leads I and aVL and QS configulation in V(1) through V(2). Conduction disturbances were observed in intra-atrial, A-V junctional and intraventricular conductions with frequent sinus arrest associated by A-V junctional escape beats. The heart sometimes fell into complete A-V block, infrequently with supernormal conduction. In spite of markedly abnormal ECG findings, amyloid infiltration in the mycoardium, His-bundle, A-V node and other discrepancies were minimum.
Keywords
原発性アミロイドーシス
洞機能不全
房室伝導障害
ISSN
0030-1558
NCID
AN00032489