An acromegaly-induced cardiomyopathy mimicking amyloidosis

A 61-year-old woman was admitted to our hospital with enlargement of the tongue and progressive fatigue. Electrocardiography showed sinus tachycardia, low QRS voltage in the limb leads and a second-degree atrioventricular block. Echocardiography showed concentric hypertrophic myocardium with restrictive left ventricular (LV) filling (Panel A–B) (Fig. 1). The LV ejection fraction was 49%. Cardiac magnetic resonance (CMR) findings demonstrated bi-atrial enlargement and concentric LV hypertrophy (Panel C, green line).
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Correspondence Source Type: research