Amyloidosis. Cardiovascular manifestations in five illustrative cases

Abstract
Each case exhibited the following clinical pictures: Intractable congestive heart failure, Ischemlc heart disease, pericarditis with effusion, valvular heart disease, and orthostatlc hypotension. The ecg findings of low voltage, left axis deviation, and absent or poor progression of the R waves in the extremity or precordial leads, although not specific, should alert the clinician to the possibility of cardiac amyloldosls. The typical low voltage may be concealed by the development of aberrant ventricular conduction or bundle-branch block.