心脏淀粉样变性无创评估进展
收稿日期: 2024-09-04
网络出版日期: 2026-01-30
基金资助
南京市卫生科技发展专项资金项目(YKK23263);东南大学医学院附属南京同仁医院院内科研项目(2023E003)
版权
Progress in noninvasive assessment of cardiac amyloidosis
Received date: 2024-09-04
Online published: 2026-01-30
Copyright
张茂森 , 车子刚 , 郭万华 , 钟业鸣 , 封成燕 , 魏旋 . 心脏淀粉样变性无创评估进展[J]. 内科理论与实践, 2026 , 20(06) : 495 -499 . DOI: 10.16138/j.1673-6087.2025.06.12
Amyloidosis is a group of disorders caused by misfolded proteins that deposit in tissues and impair the function of vital organs. Systemic amyloidosis frequently involves the heart and is a leading cause of death in affected patients. Cardiac amyloidosis is difficult to diagnose and carries a poor prognosis, making early diagnosis and assessment crucial for treatment and prognosis. This article reviews several noninvasive techniques for diagnosing and evaluating cardiac amyloidosis.
| [1] | Gertz MA, Dispenzieri A. Systemic amyloidosis recognition, prognosis, and therapy: a systematic review[J]. JAMA, 2020, 324(1):79-89. |
| [2] | Bloom MW, Gorevic PD. Cardiac amyloidosis[J]. Ann Intern Med, 2023, 176(3):ITC33-ITC48. |
| [3] | Garcia-Pavia P, Rapezzi C, Adler Y, et al. Diagnosis and treatment of cardiac amyloidosis. A position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases [J]. Eur J Heart Fail, 2021, 23(4): 512-526. |
| [4] | Gertz MA. Cardiac amyloidosis[J]. Heart Fail Clin, 2022, 18(3):479-488. |
| [5] | Ioannou A, Patel RK, Martinez-Naharro A, et al. Tracking multiorgan treatment response in systemic AL-amyloidosis with cardiac magnetic resonance derived extracellular volume mapping[J]. JACC Cardiovasc Imaging, 2023, 16(8):1038-1052. |
| [6] | Lee C, Lam A, Kangappaden T, et al. Systematic literature review of evidence in amyloid light-chain amyloidosis[J]. J Comp Eff Res, 2022, 11(6):451-472. |
| [7] | Muchtar E, Dispenzieri A, Magen, et al. Systemic amyloidosis from A (AA) to T (ATTR): a review[J]. J Intern Med, 2021, 289(3):268-292. |
| [8] | Silvetti E, Lanza O, Romeo F, et al. The pivotal role of ECG in cardiomyopathies[J]. Front Cardiovasc Med, 2023, 10: 1178163. |
| [9] | 宋爽. 临床诊断AL型心肌淀粉样变性的影像学特征分析 [D]. 2020. 长春: 吉林大学. |
| Song S. Analysis imaging features of amyloid light chain myocardial amyloidosis diagnosed clinically [D]. 2020. Changchun: Jilin University. | |
| [10] | Slivnick JA, Wallner AL, Vallakati A, et al. Indexed left ventricular mass to QRS voltage ratio is associated with heart failure hospitalizations in patients with cardiac amyloidosis[J]. Int J Cardiovasc Imaging, 2021, 37(3):1043-1051. |
| [11] | Dominguez F. Predicting pacemaker implantation in cardiac amyloidosis: let's start with an ECG[J]. Eur J Heart Fail, 2022, 24(7):1237-1238. |
| [12] | Boldrini M, Cappelli F, Chacko L, et al. Multiparametric echocardiography scores for the diagnosis of cardiac amyloidosis[J]. JACC Cardiovasc Imaging, 2020, 13(4):909-920. |
| [13] | Liang S, Liu Z, Li Q, et al. Advance of echocardiography in cardiac amyloidosis[J]. Heart Fail Rev, 2023, 28(6):1345-1356. |
| [14] | Damy T, Costes B, Hagège AA, et al. Prevalence and clinical phenotype of hereditary transthyretin amyloid cardiomyopathy in patients with increased left ventricular wall thickness[J]. Eur Heart J, 2016, 37(23):1826-1834. |
| [15] | AbouEzzeddine OF, Davies DR, Scott CG, et al. Prevalence of transthyretin amyloid cardiomyopathy in heart failure with preserved ejection fraction[J]. JAMA Cardiol, 2021, 6(11):1267-1274. |
| [16] | Hotta VT, Giorgi MCP, Fernandes F, et al. Cardiac amyloidosis: non-invasive diagnosis[J]. Rev Assoc Med Bras (1992), 2020, 66(3):345-352. |
| [17] | Stricagnoli M, Cameli M, Incampo E, et al. Speckle tracking echocardiography in cardiac amyloidosis[J]. Heart Fail Rev, 2019, 24(5):701-707. |
| [18] | Scheel PJ 3rd, Mukherjee M, Hays AG, et al. Multimodality imaging in the evaluation and prognostication of cardiac amyloidosis[J]. Front Cardiovasc Med, 2022, 9: 787618. |
| [19] | Lei C, Zhu X, Hsi DH, et al. Predictors of cardiac involvement and survival in patients with primary systemic light-chain amyloidosis: roles of the clinical, chemical, and 3-D speckle tracking echocardiography parameters[J]. BMC Cardiovasc Disord, 2021, 21(1):43. |
| [20] | Dorbala S, Cuddy S, Falk RH. How to image cardiac amyloidosis: a practical approach[J]. JACC Cardiovasc Imaging, 2020, 13(6):1368-1383. |
| [21] | Hou W, Wang Z, Huang J, et al. Early diagnostic and prognostic value of myocardial strain derived from cardiovascular magnetic resonance in patients with cardiac amyloidosis[J]. Cardiovasc Diagn Ther, 2023, 13(6):979-993. |
| [22] | Yilmaz A. Interpretation of CMR-based mapping findings in cardiac amyloidosis: please act with caution[J]. JACC Cardiovasc Imaging, 2022, 15(4):604-606. |
| [23] | Sanchorawala V. Systemic light chain amyloidosis[J]. N Engl J Med, 2024, 390(24):2295-2307. |
| [24] | Wan K, Sun J, Han Y, et al. Increased prognostic value of query amyloid late enhancement score in light-chain cardiac amyloidosis[J]. Circ J, 2018, 82(3):739-746. |
| [25] | Lin L, Li X, Feng J, et al. The prognostic value of T1 mapping and late gadolinium enhancement cardiovascular magnetic resonance imaging in patients with light chain amyloidosis[J]. J Cardiovasc Magn Reson, 2018, 20(1):2. |
| [26] | Briasoulis A, Lama N, Rempakos A, et al. Diagnostic and prognostic value of non-late gadolinium enhancement cardiac magnetic resonance parameters in cardiac amyloidosis[J]. Curr Probl Cardiol, 2023, 48(4):101573. |
| [27] | Baggiano A, Boldrini M, Martinez-Naharro A, et al. Noncontrast magnetic resonance for the diagnosis of cardiac amyloidosis [J]. JACC Cardiovasc Imaging, 2020, 13(1 Pt 1):69-80. |
| [28] | Martinez-Naharro A, Kotecha T, Norrington K, et al. Native T1 and extracellular volume in transthyretin amyloidosis[J]. JACC Cardiovasc Imaging, 2019, 12(5):810-819. |
| [29] | Dorbala S, Kijewski MF. Molecular imaging of systemic and cardiac amyloidosis: recent advances and focus on the future[J]. J Nucl Med, 2023, 64(Suppl 2):20S-28S. |
| [30] | 中华医学会心血管病学分会心力衰竭学组, 中华心血管病杂志编辑委员会. 转甲状腺素蛋白心脏淀粉样变诊断与治疗中国专家共识[J]. 中华心血管病杂志, 2021, 49(4):324-332. |
| Heart Failure Group of Chinese Society of Cardiology, Editorial Board of Chinese Journal of Cardiology. Chinese expert consensus on the diagnosis and treatment of transthyretin cardiac amyloidosis[J]. Chin J Cardiol, 2021, 49(4):324-332. | |
| [31] | Clerc OF, Vijayakumar S, Dorbala S. Radionuclide imaging of cardiac amyloidosis: an update and future aspects[J]. Semin Nucl Med, 2024, 54(5):717-732. |
| [32] | Gillmore JD, Maurer MS, Falk RH, et al. Nonbiopsy diagnosis of cardiac transthyretin amyloidosis[J]. Circulation, 2016, 133(24):2404-2412. |
| [33] | 王雪竹, 任超, 黄政海, 等. 核医学显像在系统性轻链型淀粉样变诊疗中的应用进展[J]. 中华核医学与分子影像杂志, 2022, 42(4):243-247. |
| Wang XZ, Ren C, Huang ZH, et al. Advances in the application of nuclear medicine imaging in the diagnosis and treatment of systematic light chain amyloidosis[J]. Chin J Nucl Med Mol Imaging, 2022, 42(4):243-247. | |
| [34] | Vergaro G, Aimo A, Barison A, et al. Keys to early diagnosis of cardiac amyloidosis: red flags from clinical, laboratory and imaging findings[J]. Eur J Prev Cardiol, 2020, 27(17):1806-1815. |
| [35] | Arvanitis M, Koch CM, Chan GG, et al. Identification of transthyretin cardiac amyloidosis using serum retinol-binding protein 4 and a clinical prediction model[J]. JAMA Cardiol, 2017, 2(3):305-313. |
| [36] | Gillmore JD, Damy T, Fontana M, et al. A new staging system for cardiac transthyretin amyloidosis[J]. Eur Heart J, 2018, 39(30):2799-2806. |
| [37] | Argon A, Nart D, Yilmazbarbet F. Cardiac amyloidosis: clinical features, pathogenesis, diagnosis, and treatment[J]. Turk Patoloji Derg, 2024, 40(1):1-9. |
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