Cardiac amyloidosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor: Cafer Zorkun, M.D., Ph.D. [2]
Signs
Cardiac amyloidosis is difficult to diagnose.
The findings from an examination are not specific and may indicate enlargement of the heart and fluid retention in the lungs.
Auscultation may reveal rales, heart murmurs, and/or other pathologic heart sounds.
Hepatomegaly and elevated jugular pressure may occur.
The blood pressure may be low or may drop when rising to a standing position (orthostatic hypotension). Orthostatic hypotension is typical especially in kidney involvement.