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. 2020 Oct 5;82:7–15. doi: 10.1016/j.ejim.2020.09.025

Fig. 2.

Fig. 2:

A 66-year-old man diagnosed with supposed hypertensive heart disease. Severe, concentric biventricular hypertrophy with granular sparkling appearance of the myocardium, thickened papillary muscles, bi-atrial enlargement and pericardial effusion. The regular size of the aortic root and the ascending aorta should have called into question the initial diagnosis of hypertensive heart disease. Thickened AV valves and IAS suggest long-standing infiltration. Legend: AV, atrioventricular; IAS, Interatrial Septum.