Not every q wave is an infarct-stepwise approach in a case of cardiac amyloidosis

We are presenting a case of 65 years old lady who presented in clinic with shortness of breath, pedal and periorbital swelling and lethargy for 1 month. Her initial electrocardiogram (ECG) raised the suspicious of a missed myocardial infarction but detailed workup confirm the diagnosis of multiple myeloma with cardiac amyloidosis. The case highlight the importance of considering differentials of various ECG pattern mimicking infarcts and correlating them clinically and with other diagnostic modalities.