Compendium Geneeskunde

ALT When a patient presents at the cardiac care unit with symptoms of heart failure, the clinical workup includes multimodal imaging. In this case of a 72-year-old man, conventional radiography and echocardiography confirmed heart failure with a reduced left ventricular ejection fraction. The patient received an MRI to assist in the differential diagnosis for newly diagnosed heart failure and to differentiate between ischemic and non-ischemic Cardiomyopathy. The visualized subendocardial enhancement raised suspicion of cardiac amyloidosis. The combination of the MR findings indicated the need for a bone scan for cardiac amyloidosis. The subsequent Tc-99m-HDP SPECT scan showed increased uptake in the myocardium (Perugini grade 2 or 3). This article is written in the concise Compendium Medicine style, using bells to outline important warning signs and clinical symptoms, light bulbs for interesting facts, and a condition summary.