Case 007 - Patient With Myeloma and Renal Failure
64 year old women with multiple myeloma and renal failure. Clinical findings include the following: peripheral edema, jugular venous distension and pleural effusion. Blood pressure is 115/80.

The following features are present:

1. 
   Left ventricular hypertrophy, impaired relaxation, enlarged left atrium, right ventricular hypertrophy, and pericardial effusion.
   
2. 
   Systolic dysfunction, left ventricular hypertrophy, septal hyopkinesia, enlarged left atrium, pericardial effusion.
   
3. 
   Left ventricular hypertrophy, restrictive filling pattern, enlarged left atrium, pericardial effusion.
   
4. 
   Left ventricular hypertrophy, diastolic dysfunction (pseudonormal filling pattern), enlarged left atrium, pericardial effusion.
   

View the correct answer.

<p>Left ventricular hypertrophy, restrictive filling pattern, enlarged left atrium, pericardial effusion.</p>


The most likely diagnosis is:

1. 
   Carcinoid heart disease.
   
2. 
   Hypertensive "endstage" heart disease.
   
3. 
   Cardiac amyloidosis.
   
4. 
   Pericarditis.
   

View the correct answer.

<p>Cardiac amyloidosis.</p>