Cardiac Amyloidosis A Case Report - Discussion and General Review

Cardiac amyloidosis is a rare condition. Many cases of progressive heart failure due to cardiac amyloidosis remains undiagnosed, because of the rarity and lack of suspicion. Cardiac deposition, leading to infiltrative cardiomyopathy, is a common feature of amyloidosis. Cardiac amyloidosis should be considered in patient with clinical features of congestive cardiac failure, preserved ventricular systolic function and a discrepancy between a low QRS voltage on electrocardiography, apparent ventricular hypertrophy and increased echogenecity on echocardiogram. Treatment options are limited and patients are also poor responders in late stages. Hence the need for a high index of suspicion, appropriate investigations, early diagnosis and recent advances in therapy which can, when appropriately used, significantly improve patient quality of life and survival.