AprovaMED
AprovaMED
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Internal Medicine

A 52-year-old man with a 20-year history of poorly controlled type 2 diabetes presents with progressive dyspnea and bilateral lower-extremity edema. Echocardiography shows a preserved ejection fraction of 60% with grade III diastolic dysfunction and biatrial enlargement. Endomyocardial biopsy stained with Congo red shows apple-green birefringence under polarized light. Which of the following is the most likely cause of his cardiac findings?

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