GATHER THE DATA
Patient photo
Profiles are not of actual patients.
Patient history and presentation
  • 52-year-old Caucasian female
  • Multiple syncopal episodes over the last month
  • Chest pain
  • Dyspnea on exertion
  • No known family history of heart failure or cardiomyopathy
  • Systolic murmur detected on physical exam
NEXT...DIG DEEPER
WHICH LABS AND TESTS WOULD YOU ORDER?
(Select all that apply)
  • BNP and NT-proBNP
  • Electrocardiogram
  • Echocardiogram
  • Cardiac magnetic resonance imaging
  • Endomyocardial biopsy
  • Scintigraphy with technetium-labeled bone tracer
ENTER SELECTIONS
Test Results from the Case Physician

Thank you for your selections. The results for the tests and labs the case physician selected are below.

  • Electrocardiography: Abnormal Q waves in the inferior and lateral leads, abnormal P waves
  • Echocardiography:
    • Asymmetric left ventricular (LV) wall thickening: 17 mm at basal anterior septum, 15 mm at anterior wall
    • Grade II diastolic dysfunction
    • LV outflow obstruction: LV outflow tract 45 mmHg
  • 99mTc-PYP scintigraphy scan: Grade 0 myocardial radiotracer uptake
MAKE THE CALL Which is the most likely diagnosis?
(Choose one)
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