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转甲状腺素蛋白淀粉样变心肌病患者预后评估的最佳实践

Best Practices for Prognostic Evaluation of a Patient With Transthyretin Amyloid Cardiomyopathy.

作者信息

Feng Kent Y, Loungani Rahul S, Rao Vishal N, Patel Chetan B, Khouri Michel G, Felker G Michael, DeVore Adam D

机构信息

Stanford Center for Clinical Research, Stanford University School of Medicine, Stanford, California, USA.

Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.

出版信息

JACC CardioOncol. 2019 Dec 17;1(2):273-279. doi: 10.1016/j.jaccao.2019.11.006. eCollection 2019 Dec.

Abstract

Transthyretin amyloid cardiomyopathy (ATTR-CM) has emerged as an increasingly identified etiology of heart failure. Fortunately, the disease now has an approved therapy, with many others under development. Assessment of prognosis in ATTR-CM is critical to inform patients about the disease course and guide clinical decisions. This review discusses the evidence behind clinical, biomarker, and imaging findings that inform prognosis in patients with ATTR-CM and can assist providers in the shared decision-making process during management of this disease.

摘要

转甲状腺素蛋白淀粉样变心肌病(ATTR-CM)已成为一种越来越常见的心力衰竭病因。幸运的是,该疾病目前已有获批的治疗方法,还有许多其他疗法正在研发中。评估ATTR-CM的预后对于告知患者疾病进程并指导临床决策至关重要。本综述讨论了临床、生物标志物和影像学检查结果背后的证据,这些证据可为ATTR-CM患者的预后提供信息,并有助于医疗人员在该疾病的管理过程中进行共同决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9632/8352120/32b4dbcba944/fx1.jpg

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