|Values are valid only on day of printing.|
-Cardiac allograft rejection
-Idiopathic chest pain
-Secondary heart disease (amyloidosis, sarcoidosis, hemochromatosis, storage diseases, and neoplastic diseases)
Endomyocardial biopsies may be indicated to evaluate a variety of cardiac disorders. The procedure is performed using a device inserted through the jugular, subclavian, or femoral vein.
Abnormalities will be compared to reported reference values.
This request will be processed as a consultation. Appropriate stain(s) will be performed and a diagnostic interpretation provided.
Either wet tissue fixed in 10% neutral buffered formalin or Trump's solution or slides and paraffin blocks may be submitted.
Electron microscopy is generally only performed for the evaluation of adriamycin cardiotoxicity and storage diseases. For the evaluation of adriamycin cardiotoxicity, specimens should be fixed in glutaraldehyde or Trump's solution.
Clinical diagnosis must be submitted with the specimen.
Not useful for distinguishing between alcoholic cardiomyopathy and idiopathic dilated cardiomyopathy.
Edwards WD, Holmes DR Jr: Transvenous endomyocardial biopsy. In Mayo Clinic Practice of Cardiology: Fundamentals and Practice. 3rd edition. Edited by ER Giuliani, BJ Gersh, MD McGooh, et al. St. Louis, MO, Mosby-Yearbook, 1996, pp 672-688