Electrophysiologic abnormalities in AL (primary) amyloidosis with cardiac involvement.

Reisinger, J, Dubrey, S W, Lavalley, M, Skinner, M und Falk, R H (1997) Electrophysiologic abnormalities in AL (primary) amyloidosis with cardiac involvement. Journal of the American College of Cardiology, 30 (4). pp. 1046-51. ISSN 0735-1097

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Patients with cardiac AL are prone to disease in the His-Purkinje system. Prolongation of the HV interval is common and may not be suspected from the surface electrocardiogram in the presence of a narrow QRS complex. These patients have a high prevalence of sudden death, of which the HV interval is an independent predictor. The association of HV prolongation and sudden death is probably multifactorial, representing either a marker of severe myocardial infiltration with an increased propensity to lethal ventricular arrhythmias or electromechanical dissociation, or indicating severe conduction system disease eventually leading to complete atrioventricular block and bradycardic death.

Typ des Eintrags: Artikel
Themengebiete: WG Kardiovaskuläres System
Bereiche: Ordensklinikum Linz Barmherzige Schwestern > Interne II - Kardiologie
Benutzer: Dr. Christian Vogel
Hinterlegungsdatum: 15 Nov 2012 09:08
Letzte Änderung: 15 Nov 2012 09:08

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