Cardiac Amyloidosis Diagnosis | Medical Algorithm

Are you evaluating a patient with left ventricular hypertrophy?

Yes

Does the patient have?

• hypertension?

Yes

• aortic stenosis?

Yes

• sarcoidosis?

Yes

• hemochromatosis?

Yes

Does the ECG show?

• QS waves in consecutive leads without any other evidence of cardiac ischemia ('pseudoinfarct')?

Yes

• a cardiac arrhythmia?

Yes

Does cardiac catheterization show?

• elevated diastolic pressures in both ventricles?

• a dip and plateau pattern in the right coronary artery pressure tracing?

Does echocardiography show?

• diastolic dysfunction?

Yes

• concentric myocardial hypertrophy?

Yes

• a granular, sparkling myocardium?

Yes

Select an appropriate answer for each finding

ECG voltage amplitude

Coronary arteries on catheterization

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

ECG and Imaging Findings in Cardiac Amyloidosis

Purpose: To evaluate a patient with left ventricular hypertrophy for evidence of cardiac amyloidosis based on the findings reported by Shah et al.