Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918

This article has now been updated. Please use the final version.

Triglyceride Deposit Cardiomyovasculopathy with Massive Myocardial Triglyceride which was Proven Using Proton-magnetic Resonance Spectroscopy
Eiryu Sai, Kazunori Shimada, Tatsuro Aikawa, Chihiro Aoshima, Kazuhisa Takamura, Makoto Hiki, Takayuki Yokoyama, Tetsuro Miyazaki, Shinichiro Fujmoto, Hakuoh Konishi, Ken-ichi Hirano, Hiroyuki Daida, Tohru Minamino
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Keywords: triglyceride deposit cardiomyovasculopathy, proton magnetic resonance spectroscopy
JOURNAL OPEN ACCESS Advance online publication

Article ID: 6126-20

The final version of this article is now available: Vol. 60 (2021), No. 8 pp. 1217-1220
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Abstract

The patient was a 73-year-old male with a history of hypertension, diabetes mellitus, dyslipidemia, rheumatoid arthritis, repeated percutaneous coronary intervention and percutaneous peripheral intervention procedures. He was frequently admitted to our hospital for congestive heart failure with orthopnea. The myocardial washout rate of iodine-123-β-methyl iodophenyl-pentadecanoic acid was defective on scintigraphy. He was diagnosed with triglyceride deposit cardiomyovasculopathy (TGCV). Proton magnetic resonance spectroscopy (1H-MRS) indicated the level of myocardial triglyceride (TG) content to be extremely high (4.92%). This is the first report to confirm a massive accumulation of TG in the myocardium of a patient with TGCV using 1H-MRS noninvasively.

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