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Erschienen in: Heart Failure Reviews 5/2022

25.10.2021

Epidemiology and clinical manifestations of cardiac amyloidosis

verfasst von: Farhan Bajwa, Ryan O’Connor, Karthikeyan Ananthasubramaniam

Erschienen in: Heart Failure Reviews | Ausgabe 5/2022

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Abstract

Cardiac amyloidosis, once considered a rare disease, has garnered significant attention over the last few years due to three key reasons: first, increased recognition of this disease in conjunction with various common cardiac conditions such as heart failure with preserved ejection fraction and aortic stenosis; second, due to the advent of promising new therapies for light chain disease (AL), transthyretin (ATTR) cardiomyopathy, and amyloid neuropathy; finally, the advancements in cardiac imaging including echocardiography, magnetic resonance imaging, and nuclear cardiac scintigraphy aid in non-biopsy diagnosis of ATTR cardiac amyloidosis. The hereditary forms of ATTR have further come into importance with the availability of genetic testing and increased prevalence of certain mutations in African Americans. Recognition of non-cardiac clues to this disease has gained importance and reiterates that high clinical suspicion, detailed patient history, and examination with appropriate use of imaging are vital to confirm the diagnosis.
Literatur
1.
Zurück zum Zitat Sipe JD, Cohen AS (2000) Review: history of the amyloid fibril. J Struc Bio 130(2–3):88–98, ISSN 1047–8477 Sipe JD, Cohen AS (2000) Review: history of the amyloid fibril. J Struc Bio 130(2–3):88–98, ISSN 1047–8477
7.
Zurück zum Zitat González-López E, Gallego-Delgado M, Guzzo-Merello G, de Haro-Del Moral FJ, Cobo-Marcos M, Robles C, Bornstein B, Salas C, Lara-Pezzi E, Alonso-Pulpon L, Garcia-Pavia P (2015) Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Eur Heart J 36(38):2585–2594. https://doi.org/10.1093/eurheartj/ehv338 (Epub 2015 Jul 28 PMID: 26224076)CrossRefPubMed González-López E, Gallego-Delgado M, Guzzo-Merello G, de Haro-Del Moral FJ, Cobo-Marcos M, Robles C, Bornstein B, Salas C, Lara-Pezzi E, Alonso-Pulpon L, Garcia-Pavia P (2015) Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Eur Heart J 36(38):2585–2594. https://​doi.​org/​10.​1093/​eurheartj/​ehv338 (Epub 2015 Jul 28 PMID: 26224076)CrossRefPubMed
8.
Zurück zum Zitat Sperry BW, Reyes BA, Ikram A, Donnelly JP, Phelan D, Jaber WA, Shapiro D, Evans PJ, Maschke S, Kilpatrick SE, Tan CD, Rodriguez ER, Monteiro C, Tang WHW, Kelly JW, Seitz WH Jr, Hanna M (2018) Tenosynovial and cardiac amyloidosis in patients undergoing carpal tunnel release. J Am Coll Cardiol 72(17):2040–2050. https://doi.org/10.1016/j.jacc.2018.07.092 (PMID: 30336828)CrossRefPubMed Sperry BW, Reyes BA, Ikram A, Donnelly JP, Phelan D, Jaber WA, Shapiro D, Evans PJ, Maschke S, Kilpatrick SE, Tan CD, Rodriguez ER, Monteiro C, Tang WHW, Kelly JW, Seitz WH Jr, Hanna M (2018) Tenosynovial and cardiac amyloidosis in patients undergoing carpal tunnel release. J Am Coll Cardiol 72(17):2040–2050. https://​doi.​org/​10.​1016/​j.​jacc.​2018.​07.​092 (PMID: 30336828)CrossRefPubMed
9.
Zurück zum Zitat Maurizi N, Rella V, Fumagalli C, Salerno S, Castelletti S, Dagradi F, Torchio M, Marceca A, Meda M, Gasparini M, Boschi B, Girolami F, Parati G, Olivotto I, Crotti L, Cecchi F (2020) Prevalence of cardiac amyloidosis among adult patients referred to tertiary centres with an initial diagnosis of hypertrophic cardiomyopathy. Int J Cardiol 1(300):191–195. https://doi.org/10.1016/j.ijcard.2019.07.051 (Epub 2019 Jul 17 PMID: 31371117)CrossRef Maurizi N, Rella V, Fumagalli C, Salerno S, Castelletti S, Dagradi F, Torchio M, Marceca A, Meda M, Gasparini M, Boschi B, Girolami F, Parati G, Olivotto I, Crotti L, Cecchi F (2020) Prevalence of cardiac amyloidosis among adult patients referred to tertiary centres with an initial diagnosis of hypertrophic cardiomyopathy. Int J Cardiol 1(300):191–195. https://​doi.​org/​10.​1016/​j.​ijcard.​2019.​07.​051 (Epub 2019 Jul 17 PMID: 31371117)CrossRef
12.
Zurück zum Zitat Rozenbaum MH, Large S, Bhambri R, Stewart M, Whelan J, van Doornewaard A, Dasgupta N, Masri A, Nativi-Nicolau J (2021) Impact of delayed diagnosis and misdiagnosis for patients with transthyretin amyloid cardiomyopathy (ATTR-CM): a targeted literature review. Cardiol Ther 10(1):141–159. https://doi.org/10.1007/s40119-021-00219-5. Epub 2021 Apr 20. PMID: 33877591; PMCID: PMC8126532 Rozenbaum MH, Large S, Bhambri R, Stewart M, Whelan J, van Doornewaard A, Dasgupta N, Masri A, Nativi-Nicolau J (2021) Impact of delayed diagnosis and misdiagnosis for patients with transthyretin amyloid cardiomyopathy (ATTR-CM): a targeted literature review. Cardiol Ther 10(1):141–159. https://​doi.​org/​10.​1007/​s40119-021-00219-5. Epub 2021 Apr 20. PMID: 33877591; PMCID: PMC8126532
13.
Zurück zum Zitat Maurer MS, Schwartz JH, Gundapaneni B, Elliott PM, Merlini G, Waddington-Cruz M, Kristen AV, Grogan M, Witteles R, Damy T, Drachman BM, Shah SJ, Hanna M, Judge DP, Barsdorf AI, Huber P, Patterson TA, Riley S, Schumacher J, Stewart M, Sultan MB, Rapezzi C (2018) ATTR-ACT Study Investigators. Tafamidis Treatment for Patients with Transthyretin Amyloid Cardiomyopathy. N Engl J Med 379(11):1007–1016. https://doi.org/10.1056/NEJMoa1805689. Epub 2018 Aug 27. PMID: 30145929 Maurer MS, Schwartz JH, Gundapaneni B, Elliott PM, Merlini G, Waddington-Cruz M, Kristen AV, Grogan M, Witteles R, Damy T, Drachman BM, Shah SJ, Hanna M, Judge DP, Barsdorf AI, Huber P, Patterson TA, Riley S, Schumacher J, Stewart M, Sultan MB, Rapezzi C (2018) ATTR-ACT Study Investigators. Tafamidis Treatment for Patients with Transthyretin Amyloid Cardiomyopathy. N Engl J Med 379(11):1007–1016. https://​doi.​org/​10.​1056/​NEJMoa1805689. Epub 2018 Aug 27. PMID: 30145929
14.
Zurück zum Zitat Kittleson MM, Maurer MS, Ambardekar AV, Bullock-Palmer RP, Chang PP, Eisen HJ, Nair AP, Nativi-Nicolau J, Ruberg FL (2020) American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology. Cardiac amyloidosis: evolving diagnosis and management: a scientific statement from the American Heart Association. Circulation 142(1):e7-e22. https://doi.org/10.1161/CIR.0000000000000792. Epub 2020 Jun 1. PMID: 32476490 Kittleson MM, Maurer MS, Ambardekar AV, Bullock-Palmer RP, Chang PP, Eisen HJ, Nair AP, Nativi-Nicolau J, Ruberg FL (2020) American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology. Cardiac amyloidosis: evolving diagnosis and management: a scientific statement from the American Heart Association. Circulation 142(1):e7-e22. https://​doi.​org/​10.​1161/​CIR.​0000000000000792​. Epub 2020 Jun 1. PMID: 32476490
16.
Zurück zum Zitat Falk RH, Alexander KM, Liao R, Dorbala S (2016) AL (light-chain) cardiac amyloidosis: a review of diagnosis and therapy. J Am Coll Falk RH, Alexander KM, Liao R, Dorbala S (2016) AL (light-chain) cardiac amyloidosis: a review of diagnosis and therapy. J Am Coll
17.
Zurück zum Zitat Hasserjian RP, Goodman HJ, Lachmann HJ et al (2007) Bone marrow findings correlate with clinical outcome in systemic AL amyloidosis patients. Histopathology 50:567–573CrossRef Hasserjian RP, Goodman HJ, Lachmann HJ et al (2007) Bone marrow findings correlate with clinical outcome in systemic AL amyloidosis patients. Histopathology 50:567–573CrossRef
18.
Zurück zum Zitat Shi J, Guan J, Jiang B, Brenner DA, Del Monte F, Ward JE, Connors LH, Sawyer DB, Semigran MJ, Macgillivray TE, Seldin DC, Falk R, Liao R (2010) Amyloidogenic light chains induce cardiomyocyte contractile dysfunction and apoptosis via a non-canonical p38alpha MAPK pathway. Proc Natl Acad Sci USA 107(9):4188–93. https://doi.org/10.1073/pnas.0912263107. Epub 2010 Feb 11. PMID: 20150510; PMCID: PMC2840082 Shi J, Guan J, Jiang B, Brenner DA, Del Monte F, Ward JE, Connors LH, Sawyer DB, Semigran MJ, Macgillivray TE, Seldin DC, Falk R, Liao R (2010) Amyloidogenic light chains induce cardiomyocyte contractile dysfunction and apoptosis via a non-canonical p38alpha MAPK pathway. Proc Natl Acad Sci USA 107(9):4188–93. https://​doi.​org/​10.​1073/​pnas.​0912263107. Epub 2010 Feb 11. PMID: 20150510; PMCID: PMC2840082
20.
Zurück zum Zitat Mayo Clinic Proceedings (2019) 93(3):465–71 Mayo Clinic Proceedings (2019) 93(3):465–71
23.
Zurück zum Zitat Kumar S, Dispenzieri A, Lacy MQ, Hayman SR, Buadi FK, Colby C, Laumann K, Zeldenrust SR, Leung N, Dingli D, Greipp PR, Lust JA, Russell SJ, Kyle RA, Rajkumar SV, Gertz MA (2012) Revised prognostic staging system for light chain amyloidosis incorporating cardiac biomarkers and serum free light chain measurements. J Clin Oncol 30(9):989–95. https://doi.org/10.1200/JCO.2011.38.5724. Epub 2012 Feb 13. PMID: 22331953; PMCID: PMC3675680 Kumar S, Dispenzieri A, Lacy MQ, Hayman SR, Buadi FK, Colby C, Laumann K, Zeldenrust SR, Leung N, Dingli D, Greipp PR, Lust JA, Russell SJ, Kyle RA, Rajkumar SV, Gertz MA (2012) Revised prognostic staging system for light chain amyloidosis incorporating cardiac biomarkers and serum free light chain measurements. J Clin Oncol 30(9):989–95. https://​doi.​org/​10.​1200/​JCO.​2011.​38.​5724. Epub 2012 Feb 13. PMID: 22331953; PMCID: PMC3675680
24.
Zurück zum Zitat Buxbaum JN, Chuba JV, Hellman GC, Solomon A, Gallo GR (1990) Monoclonal immunoglobulin deposition disease: light chain and light and heavy chain deposition diseases and their relation to light chain amyloidosis. Clinical features, immunopathology, and molecular analysis. Ann Intern Med 112(6):455–64. https://doi.org/10.7326/0003-4819-76-3-112-6-455. PMID: 2106817 Buxbaum JN, Chuba JV, Hellman GC, Solomon A, Gallo GR (1990) Monoclonal immunoglobulin deposition disease: light chain and light and heavy chain deposition diseases and their relation to light chain amyloidosis. Clinical features, immunopathology, and molecular analysis. Ann Intern Med 112(6):455–64. https://​doi.​org/​10.​7326/​0003-4819-76-3-112-6-455. PMID: 2106817
25.
Zurück zum Zitat Dispenzieri A (2021) Clinical presentation, laboratory manifestations, and diagnosis of immunoglobulin light chain (AL) amyloidosis In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. (Accessed on May 16, 2021) Dispenzieri A (2021) Clinical presentation, laboratory manifestations, and diagnosis of immunoglobulin light chain (AL) amyloidosis In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. (Accessed on May 16, 2021)
28.
Zurück zum Zitat Selvanayagam JB, Hawkins PN, Paul B, Myerson SG, Neubauer S (2007) Evaluation and management of the cardiac amyloidosis. J Am Coll Cardiol 207(50):2101–2110CrossRef Selvanayagam JB, Hawkins PN, Paul B, Myerson SG, Neubauer S (2007) Evaluation and management of the cardiac amyloidosis. J Am Coll Cardiol 207(50):2101–2110CrossRef
30.
Zurück zum Zitat Rajkumar SV, Dimopoulos MA, Palumbo A et al (2014) International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol 15:e538 Rajkumar SV, Dimopoulos MA, Palumbo A et al (2014) International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet Oncol 15:e538
33.
Zurück zum Zitat Maurer MS, Hanna M, Grogan M, Dispenzieri A, Witteles R, Drachman B, Judge DP, Lenihan DJ, Gottlieb SS, Shah SJ, Steidley DE, Ventura H, Murali S, Silver MA, Jacoby D, Fedson S, Hummel SL, Kristen AV, Damy T, Planté-Bordeneuve V, Coelho T, Mundayat R, Suhr OB, Waddington Cruz M, Rapezzi C (2016) THAOS Investigators. Genotype and phenotype of transthyretin cardiac amyloidosis: THAOS (Transthyretin Amyloid Outcome Survey). J Am Coll Cardiol 68(2):161–72. https://doi.org/10.1016/j.jacc.2016.03.596. PMID: 27386769; PMCID: PMC4940135 Maurer MS, Hanna M, Grogan M, Dispenzieri A, Witteles R, Drachman B, Judge DP, Lenihan DJ, Gottlieb SS, Shah SJ, Steidley DE, Ventura H, Murali S, Silver MA, Jacoby D, Fedson S, Hummel SL, Kristen AV, Damy T, Planté-Bordeneuve V, Coelho T, Mundayat R, Suhr OB, Waddington Cruz M, Rapezzi C (2016) THAOS Investigators. Genotype and phenotype of transthyretin cardiac amyloidosis: THAOS (Transthyretin Amyloid Outcome Survey). J Am Coll Cardiol 68(2):161–72. https://​doi.​org/​10.​1016/​j.​jacc.​2016.​03.​596. PMID: 27386769; PMCID: PMC4940135
35.
Zurück zum Zitat Maurer MS, Bokhari S, Damy T, Dorbala S, Drachman BM, Fontana M, Grogan M, Kristen AV, Lousada I, Nativi-Nicolau J, Cristina Quarta C, Rapezzi C, Ruberg FL, Witteles R, Merlini G (2019) Expert consensus recommendations for the suspicion and diagnosis of transthyretin cardiac amyloidosis. Circ Heart Fail 12(9):e006075. https://doi.org/10.1161/CIRCHEARTFAILURE.119.006075. Epub 2019 Sep 4. PMID: 31480867; PMCID: PMC6736650 Maurer MS, Bokhari S, Damy T, Dorbala S, Drachman BM, Fontana M, Grogan M, Kristen AV, Lousada I, Nativi-Nicolau J, Cristina Quarta C, Rapezzi C, Ruberg FL, Witteles R, Merlini G (2019) Expert consensus recommendations for the suspicion and diagnosis of transthyretin cardiac amyloidosis. Circ Heart Fail 12(9):e006075. https://​doi.​org/​10.​1161/​CIRCHEARTFAILURE​.​119.​006075. Epub 2019 Sep 4. PMID: 31480867; PMCID: PMC6736650
38.
Zurück zum Zitat Gorevic PD, Prelli FC, Wright J, Pras M, Frangione B (1989) Systemic senile amyloidosis. Identification of a new prealbumin (transthyretin) variant in cardiac tissue: immunologic and biochemical similarity to one form of familial amyloidotic polyneuropathy. J Clin Invest 83:836–843 Gorevic PD, Prelli FC, Wright J, Pras M, Frangione B (1989) Systemic senile amyloidosis. Identification of a new prealbumin (transthyretin) variant in cardiac tissue: immunologic and biochemical similarity to one form of familial amyloidotic polyneuropathy. J Clin Invest 83:836–843
41.
Zurück zum Zitat Pitkänen P, Westermark P, Cornwell GG 3rd (1984) Senile systemic amyloidosis. Am J Pathol 117(3):391–9. PMID: 6507586; PMCID: PMC1900583 Pitkänen P, Westermark P, Cornwell GG 3rd (1984) Senile systemic amyloidosis. Am J Pathol 117(3):391–9. PMID: 6507586; PMCID: PMC1900583
42.
Zurück zum Zitat Bonaïti B, Olsson M, Hellman U, Suhr O, Bonaïti-Pellié C, Planté-Bordeneuve V (2010) TTR familial amyloid polyneuropathy: does a mitochondrial polymorphism entirely explain the parent-of-origin difference in penetrance? Eur J Hum Genet 18(8):948–52. https://doi.org/10.1038/ejhg.2010.36. Epub 2010 Mar 17. PMID: 20234390; PMCID: PMC2987385 Bonaïti B, Olsson M, Hellman U, Suhr O, Bonaïti-Pellié C, Planté-Bordeneuve V (2010) TTR familial amyloid polyneuropathy: does a mitochondrial polymorphism entirely explain the parent-of-origin difference in penetrance? Eur J Hum Genet 18(8):948–52. https://​doi.​org/​10.​1038/​ejhg.​2010.​36. Epub 2010 Mar 17. PMID: 20234390; PMCID: PMC2987385
43.
Zurück zum Zitat Rapezzi C, Riva L, Quarta CC, Perugini E, Salvi F, Longhi S, Ciliberti P, Pastorelli F, Biagini E, Leone O, Cooke RM, Bacchi-Reggiani L, Ferlini A, Cavo M, Merlini G, Perlini S, Pasquali S, Branzi A (2008) Gender-related risk of myocardial involvement in systemic amyloidosis. Amyloid 15(1):40–48. https://doi.org/10.1080/13506120701815373 (PMID: 18266120)CrossRefPubMed Rapezzi C, Riva L, Quarta CC, Perugini E, Salvi F, Longhi S, Ciliberti P, Pastorelli F, Biagini E, Leone O, Cooke RM, Bacchi-Reggiani L, Ferlini A, Cavo M, Merlini G, Perlini S, Pasquali S, Branzi A (2008) Gender-related risk of myocardial involvement in systemic amyloidosis. Amyloid 15(1):40–48. https://​doi.​org/​10.​1080/​1350612070181537​3 (PMID: 18266120)CrossRefPubMed
45.
Zurück zum Zitat Ng B, Connors LH, Davidoff R, Skinner M, Falk RH (2005) Senile systemic amyloidosis presenting with heart failure: A comparison with light chain-associated amyloidosis. Arch Intern Med 165:1425–1429CrossRef Ng B, Connors LH, Davidoff R, Skinner M, Falk RH (2005) Senile systemic amyloidosis presenting with heart failure: A comparison with light chain-associated amyloidosis. Arch Intern Med 165:1425–1429CrossRef
48.
51.
Zurück zum Zitat Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37:2129–2200CrossRef Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37:2129–2200CrossRef
52.
53.
Zurück zum Zitat González-López E, Gallego-Delgado M, Guzzo-Merello G, de Haro-del Moral FJ, Cobo-Marcos M et al (2015) Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Euro Heart J 36(38):2585–2594 González-López E, Gallego-Delgado M, Guzzo-Merello G, de Haro-del Moral FJ, Cobo-Marcos M et al (2015) Wild-type transthyretin amyloidosis as a cause of heart failure with preserved ejection fraction. Euro Heart J 36(38):2585–2594
55.
Zurück zum Zitat Grogan M, Scott CG, Kyle RA, Zeldenrust SR, Gertz MA, Lin G et al (2016) A Natural History of Wild-Type Transthyretin Cardiac Amyloidosis and Risk Stratification Using a Novel Staging System. J Am Coll Cardiol 68(10):1014–20. https://doi.org/10.1016/j.jacc.2016.06.033. Erratum in: J Am Coll Cardiol. 2017 Jun 13;69(23):2882. PMID: 27585505 Grogan M, Scott CG, Kyle RA, Zeldenrust SR, Gertz MA, Lin G et al (2016) A Natural History of Wild-Type Transthyretin Cardiac Amyloidosis and Risk Stratification Using a Novel Staging System. J Am Coll Cardiol 68(10):1014–20. https://​doi.​org/​10.​1016/​j.​jacc.​2016.​06.​033. Erratum in: J Am Coll Cardiol. 2017 Jun 13;69(23):2882. PMID: 27585505
56.
Zurück zum Zitat Driggin E, Maurer MS (2020) The quintessential form of diastolic heart failure in older adults: Wild type transthyretin cardiac amyloidosis. Clin Cardiol 43(2):171–178. https://doi.org/10.1002/clc.23301. Epub 2019 Dec 11. PMID: 31825134; PMCID: PMC7021652 Driggin E, Maurer MS (2020) The quintessential form of diastolic heart failure in older adults: Wild type transthyretin cardiac amyloidosis. Clin Cardiol 43(2):171–178. https://​doi.​org/​10.​1002/​clc.​23301. Epub 2019 Dec 11. PMID: 31825134; PMCID: PMC7021652
57.
Zurück zum Zitat Galat A, Guellich A, Bodez D, Slama M, Dijos M et al (2016) Aortic stenosis and transthyretin cardiac amyloidosis: the chicken or the egg? Eur Heart J 37(47):3525–3531CrossRef Galat A, Guellich A, Bodez D, Slama M, Dijos M et al (2016) Aortic stenosis and transthyretin cardiac amyloidosis: the chicken or the egg? Eur Heart J 37(47):3525–3531CrossRef
61.
Zurück zum Zitat Uhlar CM, Whitehead AS (1999) Serum amyloid A, the major vertebrate acute-phase reactant. Eur J Biochem 265(2):501–523CrossRef Uhlar CM, Whitehead AS (1999) Serum amyloid A, the major vertebrate acute-phase reactant. Eur J Biochem 265(2):501–523CrossRef
62.
Zurück zum Zitat Obici L, Raimondi S, Lavatelli F, Bellotti V, Merlini G (2009) Susceptibility to AA amyloidosis in rheumatic diseases: a critical overview. Arthritis Rheum 61(10):1435–1440CrossRef Obici L, Raimondi S, Lavatelli F, Bellotti V, Merlini G (2009) Susceptibility to AA amyloidosis in rheumatic diseases: a critical overview. Arthritis Rheum 61(10):1435–1440CrossRef
Metadaten
Titel
Epidemiology and clinical manifestations of cardiac amyloidosis
verfasst von
Farhan Bajwa
Ryan O’Connor
Karthikeyan Ananthasubramaniam
Publikationsdatum
25.10.2021
Verlag
Springer US
Erschienen in
Heart Failure Reviews / Ausgabe 5/2022
Print ISSN: 1382-4147
Elektronische ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-021-10162-1

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