A 73 year old male patient presented with right sided heart failure. His ECG revealed atrial fibrillation.

On clinical examination increased jugular venous pressure and a holosystolic murmur was noted. Bedside examination with KOSMOS revealed thickened LV and RV walls with impaired systolic function of both ventricles. All valves were mildly thickened. Mild to moderate mitral regurgitation and significant tricuspid regurgitation were seen. The IVC was dilated and mild pericardial effusion was noted. All these features strongly pointed towards cardiac amyloidosis which was later confirmed with cardiac MRI.

A4C view showing thickened ventricles with impaired systolic function

A4C view showing significant tricuspid regurgitation

CW signal of tricuspid regurgitation

A2C and A3C views showing impaired LV systolic function 01

A2C and A3C views showing impaired LV systolic function 02

A3C view showing mild to moderate mitral regurgitation

Subcostal long axis view showing thickened ventricles with impaired systolic function

Dilated IVC

  • Could Ultrasound Be the Next Vital Sign?

    Could Ultrasound Be the Next Vital Sign?

    Could Ultrasound Be the Next Vital Sign? Cardiac ultrasound aligns interestingly with modern cardiology: beyond its diagnostic features, it expands the boundary of full-spectrum cardiac assessment. With the introduction of point-of-care ultrasound (POCUS) modalities, cardiology…

    Read More

  • You May Not Need a Chest X-ray to Confirm Central Lines Anymore

    You May Not Need a Chest X-ray to Confirm Central Lines Anymore

    You May Not Need a Chest X-ray to Confirm Central Lines Anymore For years, placing a central line (or central venous catheter, CVC) required sending the patient for a follow-up chest X-ray to confirm its…

    Read More

  • POCUS for Hospitalists

    POCUS for Hospitalists

    3 Harsh Realities About Point-of-Care Ultrasound (POCUS) Point-of-care ultrasound (POCUS) has quickly become one of the most innovative diagnostic tools available to hospitalists. Over the last decade, POCUS has been embraced in many medical specialties…

    Read More

  • Top 10 Most Visited News and Blog Articles on EchoNous.com in 2024

    Top 10 Most Visited News and Blog Articles on EchoNous.com in 2024

    Top 10 Most Read News and Blog Articles on EchoNous.com in 2024 As 2024 draws to a close, we’re thrilled to look back on a year filled with innovation and impact in point-of-care ultrasound (POCUS).…

    Read More