2D Echocardiography Case Review : Cardiac Amyloidosis Case 2

CASE 2

SUGGESTED PRIMARY CARDIAC AMYLOIDOSIS EARLY DIAGNOSIS CONSTRICTION VS RESTRICTION

[ECHO FINDING:GE VIVID 7] THIKENED LV WALL (CONCENTRIC LVH) THICKENED RV WALLS (RVH) ECHO DENSED MYOCARDIUM (GRANULAR SPARKLING) SMALL LV CAVITY DEPRESSED LV SYSTOLIC FUNCTION EF (TEICH):41% EF (SIMPSON):45% EF (EST):40-45% SATISFACTORY RV FUNCTION SMALL PERICARDIAL EFFUSSION DILATED ATRIA (LA/RA) THICKENED VALVE THICKENED ATRIAL SEPTUM THICKENED PAPILLARY MUSCLE GRADE III/GRADE IV DIASTOLIC DYSFUNCTION RESTRICTIVE FILLING PATTERN ??THICKENED PERICARDIUM RESPIRATION VARIATION SEEN ON TV INFLOW NO RESPIRATION VARIATION SEEN ON MV INFLOW CONTRACTION WORSE FROM BASAL TO MID WALL CONTRACTION IMPROVE FROM MID TO APICAL MILD AORTIC STENOSIS

NOTE:AFI 2D STRAIN LV DONE AMYLOID STRAIN PATTERN ON AFI BULL’S EYE MRI DONE