TABLE 2.

Clinical, Echocardiogram, and CMR Red Flags

ParameterRed flag
ClinicalBiceps tendon rupture
Carpal tunnel syndrome
Elderly
Intolerance to heart failure medications
Low-flow, low-gradient aortic stenosis
Lumbar stenosis
Neuropathy
Transthyretin gene positive
EchocardiogramLeft/right ventricular wall thickening
Diastolic dysfunction
Reduced global longitudinal strain
Relative apical sparing
Atrial enlargement
Low-flow, low-gradient aortic stenosis
CMRLeft/right ventricular wall thickening
Atrial enlargement
Diffuse late gadolinium enhancement
Expanded extracellular volume
Blood-pool signal nulling before myocardial nulling