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Cardiac Amyloidosis Revealed by a Hypertensive Crisis: A Case Report and Literature Review

Abstract:
We report the case of a 76-year-old female patient with poorly managed hypertension, admitted for a hypertensive crisis associated with low-voltage on electrocardiogram (ECG). Echocardiography revealed bi-ventricular hypertrophy and bi-atrial dilation, with a bullseye pattern on global longitudinal strain. These findings prompted an amyloidosis workup, which confirmed the diagnosis. This case highlights the importance of considering cardiac amyloidosis in patients with atypical cardiovascular symptoms. A literature review on cardiac amyloidosis is also presented.