Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging

The incidence and prevalence of amyloid cardiomyopathy (AC) has been increasing in recent years, and this diagnosis is often detected at the final stage. This determines late prescription of specific therapy and worsening prognosis of patients. Unfortunately, doctors are not sufficiently informed ab...

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Main Authors: M. V. Ezhikova, S. N. Nasonova, D. V. Ustyuzhanin, M. A. Shariya, I. V. Zhirov, S. N. Tereshchenko
Format: Article
Language:Russian
Published: InterMedservice 2024-11-01
Series:Евразийский Кардиологический Журнал
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Online Access:https://www.heartj.asia/jour/article/view/6489
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author M. V. Ezhikova
S. N. Nasonova
D. V. Ustyuzhanin
M. A. Shariya
I. V. Zhirov
S. N. Tereshchenko
author_facet M. V. Ezhikova
S. N. Nasonova
D. V. Ustyuzhanin
M. A. Shariya
I. V. Zhirov
S. N. Tereshchenko
author_sort M. V. Ezhikova
collection DOAJ
description The incidence and prevalence of amyloid cardiomyopathy (AC) has been increasing in recent years, and this diagnosis is often detected at the final stage. This determines late prescription of specific therapy and worsening prognosis of patients. Unfortunately, doctors are not sufficiently informed about the pathogenesis of AC and diagnostic methods. This circumstance leads to prolongation of time from the manifestation of the disease to the diagnosis. Despite the presence of a large number of AC masks, a number of specific clinical diagnostic markers called «red flags» helps to suspect AC. In addition, the development of diagnostic algorithms using non-invasive imaging methods can help not only in diagnosing AC at an early stage of the disease, but also in determining the type of amyloidosis, that determines the success of timely administration of disease-modifying therapy. The aim of this review is to analyze the possibility of using MRI criteria to attempt non-invasive typing of amyloidosis and to differentiate ATTR and AL AС.
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issn 2225-1685
2305-0748
language Russian
publishDate 2024-11-01
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series Евразийский Кардиологический Журнал
spelling doaj-art-8db4d2ee7eb24a9fa918ae2f22fc739c2025-08-03T13:28:57ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482024-11-0104909710.38109/2225-1685-2024-4-91-976364Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imagingM. V. Ezhikova0S. N. Nasonova1D. V. Ustyuzhanin2M. A. Shariya3I. V. Zhirov4S. N. Tereshchenko5E.I. Chazov National Medical Research Center of Cardiology; A.L. Myasnikov institute of clinical cardiologyE.I. Chazov National Medical Research Center of Cardiology; A.L. Myasnikov institute of clinical cardiologyE.I. Chazov National Medical Research Center of Cardiology; A.L. Myasnikov institute of clinical cardiologyE.I. Chazov National Medical Research Center of Cardiology; A.L. Myasnikov institute of clinical cardiologyE.I. Chazov National Medical Research Center of Cardiology; A.L. Myasnikov institute of clinical cardiology; Russian Medical Academy of Continuous Professional EducationE.I. Chazov National Medical Research Center of CardiologyThe incidence and prevalence of amyloid cardiomyopathy (AC) has been increasing in recent years, and this diagnosis is often detected at the final stage. This determines late prescription of specific therapy and worsening prognosis of patients. Unfortunately, doctors are not sufficiently informed about the pathogenesis of AC and diagnostic methods. This circumstance leads to prolongation of time from the manifestation of the disease to the diagnosis. Despite the presence of a large number of AC masks, a number of specific clinical diagnostic markers called «red flags» helps to suspect AC. In addition, the development of diagnostic algorithms using non-invasive imaging methods can help not only in diagnosing AC at an early stage of the disease, but also in determining the type of amyloidosis, that determines the success of timely administration of disease-modifying therapy. The aim of this review is to analyze the possibility of using MRI criteria to attempt non-invasive typing of amyloidosis and to differentiate ATTR and AL AС.https://www.heartj.asia/jour/article/view/6489transthyretin amyloid cardiomyopathymagnetic resonance imaginglate gadolinium enhancementmyocardial mappingextracellular volume fraction
spellingShingle M. V. Ezhikova
S. N. Nasonova
D. V. Ustyuzhanin
M. A. Shariya
I. V. Zhirov
S. N. Tereshchenko
Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
Евразийский Кардиологический Журнал
transthyretin amyloid cardiomyopathy
magnetic resonance imaging
late gadolinium enhancement
myocardial mapping
extracellular volume fraction
title Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
title_full Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
title_fullStr Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
title_full_unstemmed Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
title_short Amyloid cardiomyopathy: сlinical significance and diagnostic value of magnetic resonance imaging
title_sort amyloid cardiomyopathy сlinical significance and diagnostic value of magnetic resonance imaging
topic transthyretin amyloid cardiomyopathy
magnetic resonance imaging
late gadolinium enhancement
myocardial mapping
extracellular volume fraction
url https://www.heartj.asia/jour/article/view/6489
work_keys_str_mv AT mvezhikova amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging
AT snnasonova amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging
AT dvustyuzhanin amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging
AT mashariya amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging
AT ivzhirov amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging
AT sntereshchenko amyloidcardiomyopathyslinicalsignificanceanddiagnosticvalueofmagneticresonanceimaging