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Diagnosing cardiac amyloidosis in every-day practice: A practical guide for the cardiologist
oleh: Maria Papathanasiou, Alexander Carpinteiro, Christoph Rischpler, Tim Hagenacker, Tienush Rassaf, Peter Luedike
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2020-06-01 |
Deskripsi
Cardiac amyloidosis (CA) has emerged as a previously underestimated cause of heart failure and mortality. Underdiagnosis resulted mainly from unawareness of the true disease prevalence and the non-specific symptoms of the disease. CA results from extracellular deposition of misfolded protein fibrils, commonly derived from transthyretin (ATTR) or immunoglobulin light chains (AL). A significant proportion of older patients with heart failure and other extracardiac manifestations suffer from ATTR-CA, whereas AL-CA is still considered a rare disease. This article provides an overview of CA with a special focus on current and emerging diagnostic modalities. Furthermore, we provide a diagnostic algorithm for the evaluation of patients with suspected CA in every-day practice.