2D Echocardiography Case Review : Cardiac Amyloidosis Case 4

CASE 4

SUGGESTED ??SECONDARY CARDIAC AMYLOIDOSIS EARLY DIAGNOSIS CCF WITH HYPERTENSION,CHRONIC RENAL FAILURE,PEDAL OEDEMA

[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 (SIMPSON):41% EF (EST):40% SLIGHTLY BIG PA DILATED CS (??PERSISTENT LEFT SVC) NO UNROOF CS SEEN SATISFACTORY RV FUNCTION DILATED RV MODERATE TR ON CFM (TR PPG 68 MMHG) PR EDG 17 MMHG DILATED IVC/COLLAPSED (RAP:15 MMHG) EST PAP:83/32 MMHG VERY MINIMAL PERICARDIAL EFFUSSION DILATED ATRIA (LA/RA) THICKENED MV VALVE MILD THICKENED TV VALVE GRADE III/GRADE IV DIASTOLIC DYSFUNCTION RESTRICTIVE FILLING PATTERN CONTRACTION WORSE FROM BASAL TO MID WALL CONTRACTION IMPROVE FROM MID TO APICAL BILATERAL PLEURAL EFFUSSION

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