Intracardiac echocardiography allows excellent resolution images as high frequency transducers can be used in close proximity to structures being imaged.
Each P wave is preceded by a sharp pacing spike, indicating atrial pacing with regular pacing and capture. P wave morphology is different from sinus rhythm.
Hallmark of cardiac amyloidosis is thickening of ventricular walls seen on echocardiography without corresponding higher voltages on electrocardiography.