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Full-blown rheumatoid heart and vessels associated with rheumatoid arthritis

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Author(s)
Hyungseop KimIn-Cheol Kim
Keimyung Author(s)
Kim, Hyung SeopKim, In Cheol
Department
Dept. of Internal Medicine (내과학)
Journal Title
Heart Views
Issued Date
2018
Volume
19
Issue
3
Keyword
Cardiac amyloidosiscoronary artery diseaserheumatoid arthritisTakayasu's arteritis
Abstract
We report the case of a 54-year-old female patient with a history of rheumatoid arthritis (RA) who presented with dyspnea on exertion. Her pulsation on both arms was weak. Magnetic resonance (MR) angiography revealed Takayasu's arteritis (TA) characterized by multiple stenosis involving innominate, left common carotid, and left subclavian arteries. With regard to cardiac imaging, coronary computed tomography angiography revealed calcified stenosis of the left anterior descending and diagonal branch arteries, with an abdominal aorta narrowed concomitantly. Restrictive diastolic dysfunction with concentric hypertrophic myocardium was observed on echocardiography, and cardiac MR imaging revealed diffuse, subendocardial late gadolinium enhancement compatible with cardiac amyloidosis (CA). Herein, we describe a case of RA with “full-blown” complications of TA, CA, and coronary artery disease.
Keimyung Author(s)(Kor)
김형섭
김인철
Publisher
School of Medicine (의과대학)
Citation
Hyungseop Kim and In-Cheol Kim. (2018). Full-blown rheumatoid heart and vessels associated with rheumatoid arthritis. Heart Views, 19(3), 102–105. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_145_17
Type
Article
ISSN
0976-5123
Source
http://www.heartviews.org/article.asp?issn=1995-705X;year=2018;volume=19;issue=3;spage=102;epage=105;aulast=Kim
DOI
10.4103/HEARTVIEWS.HEARTVIEWS_145_17
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41859
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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