Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 12, Number 10, October 2021, pages 391-394


Delayed Diagnosis of Cardiac Amyloidosis Secondary to Multiple Myeloma

Tables

Table 1. Vitals on Presentation
 
MeasurementValue
Blood pressure127/77 mm Hg
Heart rate84 beats/min
Respiratory rate14 breaths/min
Pulse oximetry98%

 

Table 2. Laboratory Results
 
MeasurementValue
Sodium142 mmol/L
Potassium5.0 mmol/L
Chloride110 mmol/L
Glucose116 mg/dL
Calcium9.1 mg/dL
Blood urea nitrogen55 mg/dL
Creatinine3.46 mg/dL
Total protein4.0 g/dL
Anion gap10
White blood cells7,200/µL
Hemoglobin14.4 g/dL
Mean corpuscular volume93.8 fL
Platelet count360,000/µL
Brain-type natriuretic peptide1,761 pg/mL
Initial troponin0.28 ng/mL
Second troponin (4 h later)0.31 ng/mL

 

Table 3. Urine Analysis
 
MeasurementValue
AppearanceHazy
Urine protein> 500 mg/dL
GlucoseNegative
BilirubinNegative
KetonesNegative
BloodModerate
NitritesNegative
LeukocytesNegative
Urobilinogen< 2.0 mg/dL