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Images in cardiology
Cardiac amyloidosis in full glory
  1. Marc Ronsyn,
  2. Bharati Shivalkar,
  3. Christiaan J M Vrints
  1. Department of Cardiology, Antwerp University Hospital, Belgium
  1. Correspondence to Prof Dr Bharati Shivalkar, Cardiac Imaging, Department of Cardiology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium; Bharati.Shivalkar{at}uza.be

http://dx.doi.org/10.1136/hrt.2010.215707

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    A 38-year-old man with an initial incidental finding of hypertension and proteinuria progressed to dyspnoea and hypotension within 4 months. Transthoracic echocardiography showed hypertrophic cardiomyopathy with a pathognomonic granular appearance of the myocardium and left ventricular ejection fraction (LVEF) of 35% (figure 1A). There was multiorgan involvement with cardiac MR and endomyocardial biopsy confirming the diagnosis of cardiac AL amyloidosis (figure 1B …

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; not externally peer reviewed.