Angiologia: Acesso Aberto
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A Atypical Case of a Multiple Myeloma Revealed by Cardiac Amyloidosis

Salim Arous, Ilham Bensahi, Malika Noureddine, Rachida Habbal

We report the case of a man of 72 years, without specific medical history, presenting congestive heart failure and multiple lymphadenopathies. Electrocardiogram and TTE were oriented towards diagnosing cardiac amyloidosis, showing pericardial effusion of great abundance and restrictive cardiomyopathy with a low voltage at the electrocardiogram. The cervical CT had objectified thrombosis of the internal jugular vein right. Lymph node biopsies had confirmed the diagnosis of multiple myeloma. The patient died before he started systemic chemotherapy. A cardiac screening in all patients with multiple myeloma should include at least an electrocardiogram and TTE. Conversely, all patients with cardiac amyloidosis, multiple myeloma should be sought for its poor prognosis.