23.04.2019 | Editorial Commentary
Time for new imaging and therapeutic approaches in cardiac amyloidosis
Erschienen in: European Journal of Nuclear Medicine and Molecular Imaging | Ausgabe 7/2019
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Cardiac amyloidosis (CA), commonly resulting from deposition of misfolded immunoglobulin light chain (AL) or transthyretin (ATTR) protein, is an underestimated cause of heart failure [1, 2]. ATTR has gained increasing attention in recent years and can be divided into a hereditary type (ATTRv) and a wild-type (ATTRwt) [3]. Diagnosis of CA is frequently delayed for several reasons [4]. Clinical manifestations are varied, serum cardiac biomarker elevation is non-specific, awareness of CA is lacking, and noninvasive techniques for specific diagnosis became only more recently available. In patients with heart failure with preserved ejection fraction (HFpEF), moderate or severe interstitial amyloid deposition is present in 5–13% of the cases, while mild interstitial and/or intramural coronary vascular deposition was present in 12% [2, 5]. …Anzeige