title: "A case of cardiac amyloidosis with syncope".
abstract: A 56 year gentleman referred to our hospital for evaluation of syncope. He was seen previously at a local clinic and treated for cardiac failure with diuretics and was doing well on medication. He started having recurrent episode of syncope. He had his last visit to the local physician three days prior to admission when he had palpitation and was prescribed digoxin in addition to the usual medicine. Patient started having syncope from 3rd day and was referred to our hospital for evaluation. Patient's electrocardiogram as well as echocardiography was a classical finding of cardiac amyloidosis and a fat pad biopsy confirmed the diagnosis. After withdrawing digoxin and after two days on pacemaker, the patient regained normal heart rate and was discharged on diuretics.
authors.affiliation: Institute of Cardiovascular Sciences, At IPGME&R, Kolkata, West Bengal, India. ahutoshvani@yahoo.co.in
authors.forename: Biswakes
authors.initials: B
authors.lastname: Majumder
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Kumar
authors.forename: Gautam
authors.initials: G
authors.lastname: Dutta
authors.forename: G
authors.initials: G
authors.lastname: Bhawani
authors.forename: Dipankar
authors.initials: D
authors.lastname: Ghoshdastidar
authors.forename: Amit
authors.initials: A
authors.lastname: Khandalwal
authors.forename: Saroj
authors.initials: S
authors.lastname: Mondal
mesh_terms: D000686:Amyloidosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D001706:Biopsy; D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D002316:Cardiotonic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004077:Digoxin / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005500:Follow-Up Studies; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D010138:Pacemaker, Artificial; D012008:Recurrence; D013575:Syncope / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D002316:Cardiotonic Agents; D004232:Diuretics; D004077:Digoxin