An Atypical Case of a Multiple Myeloma Revealed by Cardiac Amyloidosis
Salim Arous*, Ilham Bensahi, Malika Noureddine and Rachida Habbal
Service de cardiologie, CHU Ibn Rochd, Casablanca, Maroc, Morocco
- *Corresponding Author:
- Dr. Salim Arous
Service de cardiologie, CHU Ibn Rochd, Casablanca, Maroc
E-mail: [email protected]
Received date: October 31, 2015; Accepted date: November 17, 2015; Published date: November 26, 2015
Citation: Arous S, Bensahi I, Noureddine M, Habbal R (2015) A Typical Case of a Multiple Myeloma Revealed by Cardiac Amyloidosis. Angiol 3:163. doi:10.4172/2329-9495.1000163
Copyright: © 2015 Arous S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.