Acute hypertensive cardiomyopathy can produce a rapidly reversible pseudo-amyloid strain pattern with apical sparing that mimics amyloidosis.
Acute hypertensive cardiomyopathy can present with a reversible pseudo-amyloid strain pattern on echocardiography, which must be distinguished from true cardiac amyloidosis.
Apical sparing can occur in acute hypertensive cardiomyopathy. Load-dependent basal dysfunction may mimic amyloid patterns. Rapid reversibility aids diagnostic distinction.
Dababneh et al. (2026) studied this question. Acute hypertensive cardiomyopathy can produce a rapidly reversible pseudo-amyloid strain pattern with apical sparing that mimics amyloidosis.