A review of the amyloidoses that infiltrate the heart

Robert E. Mccarthy, Edward K. Kasper

Research output: Contribution to journalReview articlepeer-review

Abstract

Primary amyloidosis, systemic senile amyloidosis, isolated atrial amyloidosis, and transthyretin isoleucine 122 amyloidosis frequently involve the heart. Amyloid fibrils infiltrate the myocardium, impairing ventricular contraction and relaxation. The clinical manifestations of cardiac infiltration in these disorders are protean, though congestive heart failure and arrhythmias are most common. Treatment of cardiac amyloidosis is directed at the underlying cause and at relief of symptoms. Heart transplantation is not a viable treatment option for patients with primary amyloidosis; its role in the other amyloidoses has not been established. The prognosis of patients with cardiac amyloidosis varies and is largely determined by the underlying disorder responsible for amyloid infiltration.

Original languageEnglish (US)
Pages (from-to)547-552
Number of pages6
JournalClinical Cardiology
Volume21
Issue number8
DOIs
StatePublished - Aug 1998

Keywords

  • Amyloidosis
  • Heart failure
  • Heart transplantation
  • Infiltrative cardiomyopathy
  • Myocardial hypertrophy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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