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Consider amyloidosis in a patient presenting with signs of congestive heart failure and low or microvoltage on ECG.It is important to examine right ventricle myocardium thickness, as hypertrophy not only occurs in the left ventricle, and look for a right ventricle outflow tract gradient.Analysis of speckle tracking of the myocardium will show deterioration of the basal and medium segments with normal apical segment motion.

Right Ventricle Outflow Obstruction in Biventricular Hypertrophic Cardiomyopathy in Amyloidosis