Standard Therapy in Cardiac Amyloidosis: What is Known, What is "Gray"

Annamaria Del Franco1, Giulia Biagioni1, Carlotta Mazzoni1

  • 1Cardiomyopathy Division, Careggi University Hospital, Aou Careggi, Largo Brambilla 3, Florence 50134, Italy.

PubMed

Insights

Amyloidosis damages the heart, often leading to heart failure (HF). Early diagnosis of cardiac amyloidosis (CA) improves patient outcomes by enabling timely intervention and better management strategies.

Area of Science:

  • Cardiology
  • Systemic Diseases
  • Medical Diagnostics

Background:

  • Amyloidosis is a systemic disease characterized by misfolded amyloid fibril accumulation.
  • Cardiac amyloidosis (CA) significantly damages the heart, worsening patient prognosis.
  • Heart failure (HF) is a common manifestation and diagnostic indicator of advanced amyloidosis.

Purpose of the Study:

  • To review key clinical management issues for patients with heart failure and cardiac amyloidosis.
  • To emphasize the importance of early diagnosis for improving the natural course of cardiac amyloidosis.
  • To highlight advancements in recognizing and managing cardiac amyloidosis.

Main Methods:

  • Literature review of clinical management strategies for cardiac amyloidosis.
  • Analysis of diagnostic criteria and prognostic factors in heart failure patients.
  • Synthesis of current research on the impact of early diagnosis on cardiac amyloidosis progression.

Main Results:

  • Early diagnosis of cardiac amyloidosis is achievable and crucial.
  • Improved understanding of cardiac amyloidosis allows for better patient management.
  • Timely intervention can positively influence the disease's natural course.

Conclusions:

  • Recognizing cardiac amyloidosis in heart failure patients is vital.
  • Enhanced diagnostic awareness improves therapeutic strategies.
  • Proactive management of cardiac amyloidosis can mitigate cardiac damage and improve outcomes.

Related Concept Videos

Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
570
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
421
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
179