Abstract
Aortic valve and mitral annular calcification are commonly seen in elderly patients with chronic kidney disease and/ or altered calcium hemostasis. Extensive myocardial calcification is rare. We present a case of an elderly female who presented with sepsis and heart failure on a clinical background of chronic kidney disease and showed extensive myocardial calcification on multi-modality imaging, leading to severe impairment in systolic and diastolic function with restrictive physiology.
 Conclusion: Myocardial calcification is an under diagnosed entity that leads to considerable morbidity and mortality. Modern imaging methods allow a prompt diagnosis but a high index of suspicion has to be maintained for accurate detection of medical condition.
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