Frontiers in Cardiovascular Medicine (Mar 2023)

Screening approaches to cardiac amyloidosis in different clinical settings: Current practice and future perspectives

  • Angelo Giuseppe Caponetti,
  • Angelo Giuseppe Caponetti,
  • Antonella Accietto,
  • Antonella Accietto,
  • Giulia Saturi,
  • Giulia Saturi,
  • Alberto Ponziani,
  • Alberto Ponziani,
  • Maurizio Sguazzotti,
  • Maurizio Sguazzotti,
  • Paolo Massa,
  • Paolo Massa,
  • Alessandro Giovannetti,
  • Alessandro Giovannetti,
  • Raffaello Ditaranto,
  • Raffaello Ditaranto,
  • Vanda Parisi,
  • Vanda Parisi,
  • Ornella Leone,
  • Pietro Guaraldi,
  • Pietro Cortelli,
  • Pietro Cortelli,
  • Christian Gagliardi,
  • Christian Gagliardi,
  • Simone Longhi,
  • Simone Longhi,
  • Nazzareno Galiè,
  • Nazzareno Galiè,
  • Elena Biagini,
  • Elena Biagini

DOI
https://doi.org/10.3389/fcvm.2023.1146725
Journal volume & issue
Vol. 10

Abstract

Read online

Cardiac amyloidosis is a serious and progressive infiltrative disease caused by the deposition of amyloid fibrils in the heart. In the last years, a significant increase in the diagnosis rate has been observed owing to a greater awareness of its broad clinical presentation. Cardiac amyloidosis is frequently associated to specific clinical and instrumental features, so called “red flags”, and it appears to occur more commonly in particular clinical settings such as multidistrict orthopedic conditions, aortic valve stenosis, heart failure with preserved or mildly reduced ejection fraction, arrhythmias, plasma cell disorders. Multimodality approach and new developed techniques such PET fluorine tracers or artificial intelligence may contribute to strike up extensive screening programs for an early recognition of the disease.

Keywords