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Cardiac amyloidosis

  • Assuero GiorgettiEmail author
  • Dario Genovesi
  • Elisa Milan
  • Wanda Acampa
  • Raffaele Giubbini
  • Alberto Cuocolo
  • Paolo Marzullo
  • Italian Group of Nuclear Cardiology (GICN)
Mini-Review
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Part of the following topical collections:
  1. Cardiovascular
  2. Cardiovascular

Abstract

Purpose

The aim of the present article was to review the recent developments in diagnosis, prognostication and management of cardiac amyloidosis.

Methods

Available scientific literature on cardiac amyloidosis has been critically reviewed.

Results

Different precursors cause different forms of cardiac amyloidosis with different outcomes and therapeutic options. Cardiac involvement determines not-specific symptoms and the diagnosis remains often a challenge for cardiologists. As a consequence, patients continue to present end-stage heart failure when possible effective therapeutic interventions are of limited utility.

Conclusions

Advances in cardiac biomarkers assessment, echocardiography, cardiac magnetic resonance and nuclear molecular imaging have improved the ability of cardiologists in the recognition and prognostic stratification of this not so rare, not so untreatable cardiac disease.

Keywords

Amyloidosis Biomarkers Cardiac imaging PET/CT 

Notes

Authors’ contribution

AG, DG, EM, WA: literature search and review, manuscript writing and editing; RG, AC, PM: manuscript content planning, revision and final approval.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

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Copyright information

© Italian Association of Nuclear Medicine and Molecular Imaging 2019

Authors and Affiliations

  • Assuero Giorgetti
    • 1
    Email author
  • Dario Genovesi
    • 1
  • Elisa Milan
    • 2
  • Wanda Acampa
    • 3
  • Raffaele Giubbini
    • 4
  • Alberto Cuocolo
    • 3
  • Paolo Marzullo
    • 1
  • Italian Group of Nuclear Cardiology (GICN)
  1. 1.Fondazione CNR/Regione Toscana “Gabriele Monasterio”PisaItaly
  2. 2.Nuclear Medicine UnitSan Giacomo Apostolo HospitalCastelfranco VenetoItaly
  3. 3.Department of Advanced Biomedical SciencesUniversity Federico IINaplesItaly
  4. 4.Chair of Nuclear Medicine and Nuclear Medicine Unit, Department of Medical ImagingUniversity and Spedali CiviliBresciaItaly

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