Image Challenge #2

A case of a 60 -year-old female who was admitted with a sudden onset shortness of breath, swelling in the legs and Heart palpitation  by using 2D echocardiography ( global longitudinal strain, GLS), the cause of cardiac insult is ............................

Prestented by Dr. Asaad Al Aboodi, Associate professor in CVS Physiology, Echo Diploma, Department of physiology/ Al- Furat teaching hospital, echocardiography unit, Faculty of Medicine, University of Kufa, Iraq.

Answer: Cardiac amyloidosis