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Cardiac amyloidosis

Martinez-Naharro, A; Hawkins, PN; Fontana, M; (2018) Cardiac amyloidosis. Clinical Medicine , 18 (Suppl 2) s30-s35. 10.7861/clinmedicine.18-2-s30. Green open access

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Abstract

Systemic amyloidosis comprises an uncommon group of disorders caused by the extracellular deposition of misfolded proteins in various organs. Cardiac amyloid deposition, causing an infiltrative/restrictive cardiomyopathy, is a frequent feature of amyloidosis and a major determinant of survival. It may be the presenting feature of the disease or may be identified while investigating a patient presenting with other organ involvement. The need for a high index of suspicion and the critical importance of precise biochemical typing of the amyloid deposits is paramount in light of recent therapeutic advances that can significantly improve prognosis. Most cases of cardiac amyloidosis are of either transthyretin type, which may be acquired in older individuals or inherited in younger patients, or acquired monoclonal immunoglobulin light chain (AL) type. This article aims to review recent developments in diagnosis and management of cardiac amyloidosis.

Type: Article
Title: Cardiac amyloidosis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.7861/clinmedicine.18-2-s30
Publisher version: http://doi.org/10.7861/clinmedicine.18-2-s30
Language: English
Additional information: This is the published version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: AL amyloidosis, ATTR amyloidosis, CMR, cardiac amyloidosis, infiltrative cardiomyopathy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inflammation
URI: https://discovery.ucl.ac.uk/id/eprint/10048587
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