Figure 3.

Cardiovascular magnetic resonance (CMR) in a patient with dyspnea and cardiac amyloidosis. An 80-year-old man with a history of ischemic heart disease was referred to the cardiology clinic because of dyspnea. Clinical examination was unremarkable. CMR showed increased left ventricular wall thickness [(A,B), bSSFP images showing three- and four-chamber view respectively], increased left ventricular mass (115.9 g/m²), and small pleural and pericardial effusion. Native T1 values were significantly increased, up to 1,200 ms (C). Late gadolinium enhancement showed diffuse left ventricular subendocardial enhancement, also involving the atria [(D,E), three- and four-chamber view, respectively]. ECV was markedly increased (F). Patient was diagnosed with cardiac amyloidosis.