Amyloid Heart Disease

被引:157
作者
Falk, Rodney H. [1 ]
Dubrey, Simon W. [2 ]
机构
[1] Harvard Univ, Sch Med, Harvard Vanguard Med Associates, Boston, MA 02215 USA
[2] Hillingdon Hosp Uxbridge, Uxbridge, Middx, England
关键词
Amyloidosis; Biochemical typing; Cardiac deposition; PRIMARY SYSTEMIC AMYLOIDOSIS; CARDIOVASCULAR MAGNETIC-RESONANCE; STEM-CELL TRANSPLANTATION; LIGHT-CHAIN AMYLOIDOSIS; ORTHOTOPIC LIVER-TRANSPLANTATION; MELPHALAN PLUS DEXAMETHASONE; SEVERE CARDIAC AMYLOIDOSIS; BRAIN NATRIURETIC PEPTIDE; LANDMARK CLINICAL-TRIAL; AL PRIMARY AMYLOIDOSIS;
D O I
10.1016/j.pcad.2009.11.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The systemic amyloidoses are an uncommon group of disorders characterized by the extracellular deposition of amyloid in one or more organs. Cardiac deposition, leading to an infiltrative/restrictive cardiomyopathy, is a common feature of amyloidosis. It may be the presenting feature of the disease or may be discovered while investigating a patient presenting with non-cardiac amyloidosis. In this article we review the features of cardiac amyloidosis and its varied manifestations. The need for a high index of suspicion and the critical importance of precise biochemical typing of the amyloid deposits is stressed in light of recent advances in therapy which can, when appropriately used, significantly improve prognosis. (Prog Cardiovasc Dis 2010;52:347-361) (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:347 / 361
页数:15
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