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(Circulation. 1955;12:827.)
© 1955 American Heart Association, Inc.

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The Physiologic and Clinical Similarity Between Primary Amyloid of the Heart and Constrictive Pericarditis

ROLF M. GUNNAR M.D.¹; ROBERT F. DILLON M.D.¹; RICHARD J. WALLYN M.D.¹; EDWARD I. ELISBERG M.D.¹

¹ From the Department of Medicine and the Hektoen Institute for Medical Research of The Cook County Hospital, Chicago, Ill.

When primary amyloid infiltrates the myocardium, there is a loss of distensibility and a resistance to contraction similar to that seen in constrictive pericarditis. The clinical similarity between these two entities has been noted previously on only a few occasions and only one previous case of amyloid has had catheterization studies. A case of amyloid of the heart is presented with catheterization studies and the reasons for the clinical and physiologic similarity to constrictive pericarditis are discussed.

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