Noon Report from a few weeks ago!

We discussed the case of a middle aged man with history of LTBI who presented with chronic episodic dizziness associated with syncope, chronic unintentional weight loss and fatigue, found to have a new systolic murmur on exam, with EKG showing bradycardia, low voltages, while the echocardiogram showed new diastolic dysfunction, and significant septal thickening. The discordance between echocardiogram showing LV hypertrophy without evidence of increased voltages on EKG increased suspicion for infiltrative process within the heart, leading to a diagnosis of cardiac amyloidosis.