A 71 year old Caucasian female has a recent diagnosis of heart failure with possible restrictive physiology. She has a history of atrial fibrillation, diabetes, hyperlipidemia and hypertension. Her mother is alive and well in her 90s and her father died in his 40s of a heart attack. Five of six siblings are alive and without heart disease. She takes glyburide, simvastatin, metoprolol, aspirin, nifedipine, spironolactone and bumetanide. An endomyocardial biopsy was performed.
Thank you to Dr. Charles Steenbergen for sharing this case.
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