The case presented here, is about a 61-year-old woman with complaints exertional dyspnea, palpitation and syncope. According to clinical, echocardiographic, cardiac catheterization and angiographic findings, restrictive cardiomyopathy was proved for her. Some clues such as macroglossia, Granular sparkling and left ventricular hypertrophy in echocardigraphy associated with low voltage ceiteria in ECG suggested amyloidosis as the cause of restrictive cardiomyopathy. Rectal biopsy revealed amyloidosis. Due to ESR=100 and punch out lesions in skull X-ray bone marrow aspiration was done which confirmed more than 30% plasmocytosis, as the indicator of multiple myeloma. So, this is a case of restrictive cardiomypathy secondary to cardiac amyloidosis as a solitary manifestation of multiple myeloma. | |
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