Power Failure: Acromegalic Cardiomyopathy

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Presentation transcript:

Power Failure: Acromegalic Cardiomyopathy Neha Maheshwari Mantri, MD, Ezra Amsterdam, MD, Marilyn Tan, MD, Gagan D. Singh, MD The American Journal of Medicine Volume 129, Issue 7, Pages 674-677 (July 2016) DOI: 10.1016/j.amjmed.2016.02.041 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 (A) The patient had bossing and macroglossia. (B) Swelling of the soft tissue, along with growth of the bone, cartilage, and muscle, produced enlargement of the hands. (C) The patient's shoe, size 19, is compared with a size 11 shoe. The American Journal of Medicine 2016 129, 674-677DOI: (10.1016/j.amjmed.2016.02.041) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 (A) This chest film showed severe cardiomegaly and pulmonary vascular congestion. The right border of the heart is prominent and obscures the right lung field. Two bullet fragments were found incidentally in the left lung field. (B) Computed tomography of the chest revealed enlargement of all 4 cardiac chambers. Notice the massive enlargement of the left atrium (LA). LV = left ventricle; RA = right atrium; RV = right ventricle. The American Journal of Medicine 2016 129, 674-677DOI: (10.1016/j.amjmed.2016.02.041) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 (A) A 2-dimensional transthoracic echocardiogram, parasternal long-axis view, demonstrated concentric left ventricular hypertrophy and massive dilation of the left atrium (LA). (B) This 2-dimensional apical 4-chamber view also identified considerable enlargement of the left atrium. (C) In comparison with our patient's 2-dimensional transthoracic echocardiogram, parasternal long-axis view, this similar view from a healthy person displays normal anatomy. (D) A 2-dimensional apical 4-chamber view from a person with normal results is shown. Consider the difference in magnitude of scale (arrows) between our patient (A, B) vs a person with normal structures (C, D). Distance between the scale markers is 10 mm. LV = left ventricle. The American Journal of Medicine 2016 129, 674-677DOI: (10.1016/j.amjmed.2016.02.041) Copyright © 2016 Elsevier Inc. Terms and Conditions