Suppr超能文献

心脏淀粉样变性病流行病学的重新定义

Re-Definition of the Epidemiology of Cardiac Amyloidosis.

作者信息

Rossi Maddalena, Varrà Guerino Giuseppe, Porcari Aldostefano, Saro Riccardo, Pagura Linda, Lalario Andrea, Dore Franca, Bussani Rossana, Sinagra Gianfranco, Merlo Marco

机构信息

Center for Diagnosis and Treatment of Cardiomyopathies, Cardiovascular Department, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI) and University of Trieste, 34149 Trieste, Italy.

Department of Nuclear Medicine, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI) and University of Trieste, 34149 Trieste, Italy.

出版信息

Biomedicines. 2022 Jun 30;10(7):1566. doi: 10.3390/biomedicines10071566.

Abstract

The epidemiology of cardiac amyloidosis (CA), traditionally considered a rare and incurable disease, has changed drastically over the last ten years, particularly due to the advances in diagnostic methods and therapeutic options in the field of transthyretin CA (ATTR-CA). On the one hand, the possibility of employing cardiac scintigraphy with bone tracers to diagnose ATTR-CA without a biopsy has unveiled the real prevalence of the disease; on the other, the emergence of effective treatments, such as tafamidis, has rendered an early and accurate diagnosis critical. Interestingly, the following subgroups of patients have been found to have a higher prevalence of CA: elderly subjects > 75 years, patients with cardiac hypertrophy hospitalized for heart failure with preserved ejection fraction, subjects operated on for bilateral carpal tunnel syndrome, patients with cardiac hypertrophy not explained by concomitant factors and individuals with aortic valve stenosis. Many studies investigating the prevalence of CA in these particular populations have contributed to rewriting the epidemiology of the disease, increasing the awareness of the medical community for a previously underappreciated condition. In this review, we summarized the latest evidence on the epidemiology of CA according to the different clinical settings typically associated with the disease.

摘要

心脏淀粉样变性(CA)传统上被认为是一种罕见且无法治愈的疾病,在过去十年中其流行病学发生了巨大变化,这尤其归因于转甲状腺素蛋白型CA(ATTR-CA)领域诊断方法和治疗选择的进步。一方面,使用骨显像剂进行心脏闪烁扫描来诊断ATTR-CA而无需活检的可能性揭示了该疾病的实际患病率;另一方面,诸如氯苯唑酸等有效治疗方法的出现使得早期准确诊断变得至关重要。有趣的是,已发现以下亚组患者的CA患病率较高:75岁以上的老年人、因射血分数保留的心力衰竭住院的心脏肥大患者、接受双侧腕管综合征手术的患者、无伴随因素解释的心脏肥大患者以及主动脉瓣狭窄患者。许多针对这些特定人群中CA患病率的研究有助于重新书写该疾病的流行病学,提高了医学界对这种先前未得到充分认识的疾病的认识。在本综述中,我们根据通常与该疾病相关的不同临床情况总结了关于CA流行病学的最新证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee0/9313045/acbb552e02f4/biomedicines-10-01566-g001.jpg

相似文献

1
Re-Definition of the Epidemiology of Cardiac Amyloidosis.
Biomedicines. 2022 Jun 30;10(7):1566. doi: 10.3390/biomedicines10071566.
2
Redefining the epidemiology of cardiac amyloidosis. A systematic review and meta-analysis of screening studies.
Eur J Heart Fail. 2022 Dec;24(12):2342-2351. doi: 10.1002/ejhf.2532. Epub 2022 May 16.
4
Technetium-pyrophosphate scintigraphy: a practical guide for early diagnosis of transthyretin amyloid cardiomyopathy.
ESC Heart Fail. 2022 Feb;9(1):251-262. doi: 10.1002/ehf2.13693. Epub 2021 Nov 29.
5
Cardiac Amyloidosis: Overlooked, Underappreciated, and Treatable.
Annu Rev Med. 2020 Jan 27;71:203-219. doi: 10.1146/annurev-med-052918-020140.
8
Transthyretin cardiac amyloidosis.
Cardiovasc Res. 2023 Feb 3;118(18):3517-3535. doi: 10.1093/cvr/cvac119.
9
Cardiac Transthyretin-derived Amyloidosis: An Emerging Target in Heart Failure with Preserved Ejection Fraction?
Card Fail Rev. 2020 Aug 7;6:e21. doi: 10.15420/cfr.2019.16. eCollection 2020 Mar.

引用本文的文献

1
Ventilatory efficiency in cardiac amyloidosis-A systematic review and meta-analysis.
Physiol Rep. 2025 May;13(9):e70308. doi: 10.14814/phy2.70308.
2
A Snapshot of the Most Recent Transthyretin Stabilizers.
Int J Mol Sci. 2024 Sep 16;25(18):9969. doi: 10.3390/ijms25189969.
3
First report of the clinical characteristics and outcomes of cardiac amyloidosis in Saudi Arabia.
ESC Heart Fail. 2024 Dec;11(6):4348-4359. doi: 10.1002/ehf2.15045. Epub 2024 Sep 1.
4
Advances in the Diagnosis and Management of Cardiac Amyloidosis: A Literature Review.
Cardiol Res. 2024 Aug;15(4):211-222. doi: 10.14740/cr1664. Epub 2024 Jul 18.
5
Recent advances in the diagnostic methods and therapeutic strategies of transthyretin cardiac amyloidosis.
World J Cardiol. 2024 Jul 26;16(7):370-379. doi: 10.4330/wjc.v16.i7.370.
6
Arrhythmic Risk Stratification in Cardiac Amyloidosis: A Review of the Current Literature.
J Cardiovasc Dev Dis. 2024 Jul 14;11(7):222. doi: 10.3390/jcdd11070222.
7
Histological assessment of cardiac amyloidosis in patients undergoing transcatheter aortic valve replacement.
ESC Heart Fail. 2024 Jun;11(3):1636-1646. doi: 10.1002/ehf2.14709. Epub 2024 Feb 26.
9
The importance of pathways to facilitate early diagnosis and treatment of patients with cardiac amyloidosis.
Ther Adv Cardiovasc Dis. 2023 Jan-Dec;17:17539447231216318. doi: 10.1177/17539447231216318.
10
World Heart Federation Consensus on Transthyretin Amyloidosis Cardiomyopathy (ATTR-CM).
Glob Heart. 2023 Oct 26;18(1):59. doi: 10.5334/gh.1262. eCollection 2023.

本文引用的文献

3
Critical Comparison of Documents From Scientific Societies on Cardiac Amyloidosis: JACC State-of-the-Art Review.
J Am Coll Cardiol. 2022 Apr 5;79(13):1288-1303. doi: 10.1016/j.jacc.2022.01.036.
4
Incidence and Characterization of Concealed Cardiac Amyloidosis Among Unselected Elderly Patients Undergoing Post-mortem Examination.
Front Cardiovasc Med. 2021 Nov 23;8:749523. doi: 10.3389/fcvm.2021.749523. eCollection 2021.
5
Prognostic significance of unexplained left ventricular hypertrophy in patients undergoing carpal tunnel surgery.
ESC Heart Fail. 2022 Feb;9(1):751-760. doi: 10.1002/ehf2.13606. Epub 2021 Nov 9.
6
Standardizing the role of endomyocardial biopsy in current clinical practice worldwide.
Eur J Heart Fail. 2021 Dec;23(12):1995-1998. doi: 10.1002/ejhf.2380. Epub 2021 Nov 21.
7
Concomitant Transthyretin Amyloidosis and Severe Aortic Stenosis in Elderly Indian Population: A Pilot Study.
JACC CardioOncol. 2021 Oct 19;3(4):565-576. doi: 10.1016/j.jaccao.2021.08.008. eCollection 2021 Oct.
9
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure.
Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验