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Diagnosis and treatment of cardiac transthyretin amyloidosis. Innovative therapy with tafamidis.
Legrand D , Nyssen A , Jackers L , Brogneaux C , Pirotte I , Grayet D , Lacremans D , Magnée M
Rev Med Liege 2022, 77(1),63-68Abstract : Cardiac amyloidosis is a rare and severe disease with worse prognosis than classic cardiac insufficiency. Transthyretin amyloïdosis is an underdiagnosed cause of amyloidosis. Technetium scintigraphy allows to confirm diagnosis of transthyretin amyloidosis with great specificity. A new hope is brought by tafamidis, a novel therapeutic option for this specific condition. This medication is the first one that proved a risk reduction in mortality among patients with cardiac amyloidosis in class NYHA I and II. In this article, we review across a clinical case the modalities for the diagnosis and treatment of transthyretin amyloidosis.
