In Africa, hypertension is a major public health problem, and hypertensive heart disease is a leading cause of heart failure. Left ventricular hypertrophy is a common consequence of hypertension. We present a case illustrating an unusual cause of such hypertrophy in a 73-year-old patient with heart failure living in the Comoros Islands, in whom we diagnosed cardiac amyloidosis. This disease has not previously been reported in the Comoros Islands and remains associated with a poor prognosis.
Keywords: Comoros; cardiac amyloidosis; heart failure; left ventricular hypertrophy.