Recurrent Syncope, a Clue in Amyloid Cardiomyopathy

Figure 2

Transthoracic echocardiogram showing moderate-size pericardial effusion in both parasternal short axis view ((a) systole; (b) diastole) and parasternal long axis view ((c) systole; (d) diastole). Echocardiogram also demonstrates granular sparkling (speckled) appearance of myocardium, suggestive of cardiac amyloid.

(a)

(b)

(c)

(d)