Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management



Clinical Presentation

- exertional dyspnea

- peripheral edema

- exertional syncope

- peripheral neuropathy

Physical Exam

- macroglossia (AL)

- periorbital bruising (AL)

- Kussmaul sign

- hepatomegaly

- normal BP (despite hx HTN)

EKG Findings

- low voltage

- pseudoinfarct pattern (Q-waves in early precordial leads)

- atrial fibrillation

- conduction disease



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