Atrial fibrillation in amyloidotic cardiomyopathy: prevalence, incidence, risk factors and prognostic role

作者: Simone Longhi , Candida Cristina Quarta , Agnese Milandri , Massimiliano Lorenzini , Christian Gagliardi

DOI: 10.3109/13506129.2015.1028616

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摘要: AbstractBackground: Although atrial fibrillation (AF) is a known complication of amyloidotic cardiomyopathy (AC), precise pathophysiological and prognostic characterization not available. We therefore aimed to assess prevalence, incidence, risk factors significance AF in light-chain (AL), hereditary transthyretin-related (m-ATTR) non-mutant (wt-ATTR) AC.Methods: Retrospective study 262 patients with AC (123 AL, 94 m-ATTR, 45 wt-ATTR) from single center.Results: prevalence was 15% (AL 9%, m-ATTR 11%, wt-ATTR 40%). During median follow-up 1.2 years 11 developed (2.1% person-years). Age, heart failure (HF), left ventricular (LV) ejection fraction, renal involvement, size right pressure were independently associated AF. incident HF but increased mortality. All prescribed warfarin none suffered thromboembolic events.Conclusions: In the va...

参考文章(36)
Giampaolo Merlini, Giovanni Palladini, Perfetti, Therapy and management of systemic AL (primary) amyloidosis. Swiss Medical Weekly. ,vol. 136, pp. 715- 720 ,(2006) , 10.4414/SMW.2006.11479
Zhongwei Cheng, Kongbo Zhu, Zhuang Tian, Dachun Zhao, Quancai Cui, Quan Fang, The Findings of Electrocardiography in Patients with Cardiac Amyloidosis Annals of Noninvasive Electrocardiology. ,vol. 18, pp. 157- 162 ,(2013) , 10.1111/ANEC.12018
Eloisa Arbustini, Laura Verga, Monica Concardi, Giovanni Palladini, Laura Obici, Giampaolo Merlini, Electron and immuno-electron microscopy of abdominal fat identifies and characterizes amyloid fibrils in suspected cardiac amyloidosis. Amyloid. ,vol. 9, pp. 108- 114 ,(2002) , 10.3109/13506120208995243
Alessandra Ferlini, Sergio Fini, Fabrizto Salvi, Maria Cristina Patrosso, Paolo Vezzoni, Antonino Forabosco, Molecular strategies in genetic diagnosis of transthyretin-related hereditary amyloidosis. The FASEB Journal. ,vol. 6, pp. 2864- 2866 ,(1992) , 10.1096/FASEBJ.6.10.1353040
Belinda Ng, Lawreen H. Connors, Ravin Davidoff, Martha Skinner, Rodney H. Falk, Senile Systemic Amyloidosis Presenting With Heart Failure Archives of Internal Medicine. ,vol. 165, pp. 1425- 1429 ,(2005) , 10.1001/ARCHINTE.165.12.1425
Robert A. Kyle, Peter C. Spittell, Morie A. Gertz, Chin-Yang Li, William D. Edwards, Lyle J. Olson, Stephen N. Thibodeau, The premortem recognition of systemic senile amyloidosis with cardiac involvement. The American Journal of Medicine. ,vol. 101, pp. 395- 400 ,(1996) , 10.1016/S0002-9343(96)00229-X
Claudio Rapezzi, Candida Cristina Quarta, Letizia Riva, Simone Longhi, Ilaria Gallelli, Massimiliano Lorenzini, Paolo Ciliberti, Elena Biagini, Fabrizio Salvi, Angelo Branzi, Transthyretin-related amyloidoses and the heart: a clinical overview Nature Reviews Cardiology. ,vol. 7, pp. 398- 408 ,(2010) , 10.1038/NRCARDIO.2010.67
Morie A. Gertz, Martha Q. Lacy, Angela Dispenzieri, Amyloidosis: Recognition, Confirmation, Prognosis, and Therapy Mayo Clinic Proceedings. ,vol. 74, pp. 490- 494 ,(1999) , 10.4065/74.5.490
Martin Berghoff, Madeera Kathpal, Faisal Khan, Martha Skinner, Rodney Falk, Roy Freeman, Endothelial dysfunction precedes C-fiber abnormalities in primary (AL) amyloidosis. Annals of Neurology. ,vol. 53, pp. 725- 730 ,(2003) , 10.1002/ANA.10552
Sven-Olof Granstam, Sara Rosengren, Ola Vedin, Tanja Kero, Jens Sörensen, Kristina Carlson, Frank A. Flachskampf, Gerhard Wikström, Evaluation of patients with cardiac amyloidosis using echocardiography, ECG and right heart catheterization. Amyloid. ,vol. 20, pp. 27- 33 ,(2013) , 10.3109/13506129.2012.761967