2D Echocardiography Case Review : Cardiac Amyloidosis Case 3

CASE 3

SUGGESTED SECONDARY CARDIAC AMYLOIDOSIS EARLY DIAGNOSIS IHD

[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):45% EF (SIMPSON):31% EF (EST):35% POOR RV FUNCTION DILATED RV MODERATE TR ON CFM (TR PPG 38 MMHG) DILATED IVC MINIMAL GLOBAL PERICARDIAL EFFUSSION LOCALISED PE AT INFERIOR POSTERIOR WALL DILATED ATRIA (LA/RA) THICKENED VALVE THICKENED ATRIAL SEPTUM GRADE III/GRADE IV DIASTOLIC DYSFUNCTION RESTRICTIVE FILLING PATTERN CONTRACTION WORSE FROM BASAL TO MID WALL CONTRACTION IMPROVE FROM MID TO APICAL

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