Heart Failure Specialist Nurse, Ealing Community Cardiology. Imperial College NHS Trust, London.
Advanced Practice Nurse, University Heart & Vascular Center, University Hospital Frankfurt, Germany.
Br J Nurs. 2024 May 9;33(9):424-429. doi: 10.12968/bjon.2024.33.9.424.
Amyloidosis can affect any organ in the body by deposition of amyloid fibrils. When these aggregate in the heart, it leads to cardiac amyloidosis a life-threatening and progressive disease. Although considered a rare condition, advances in imaging techniques and raised awareness have shown that it might be more frequent than has been historically estimated. Cardiac amyloidosis can be hereditary or occur as a consequence of the ageing process but, regardless of type, patients experience a heavy symptomatic burden. This article provides an overview of its pathophysiology, signs and symptoms and how any nurse can look for the main red flags in clinical practice. Early referral for specialist care can have a significant impact on disease progression and patient quality of life.
淀粉样变可通过淀粉样纤维沉积而影响身体的任何器官。当这些纤维在心脏中聚集时,会导致心脏淀粉样变——一种危及生命且呈进行性发展的疾病。尽管该病被认为较为罕见,但影像学技术的进步和认知水平的提高表明,其发病率可能高于以往的估计。心脏淀粉样变可遗传性发生,也可继发于衰老过程,但无论哪种类型,患者都承受着沉重的症状负担。本文概述了其病理生理学、体征和症状,以及护士在临床实践中如何寻找主要的危险信号。尽早转至专科治疗可对疾病进展和患者生活质量产生重大影响。