Echocardiographic assessment of the cardiac amyloidoses

Circulation Journal : Official Journal of the Japanese Circulation Society
Jun KoyamaUichi Ikeda

Abstract

Cardiac amyloidosis is a cardiomyopathy characterized by increased left ventricular (LV) wall thickness and normal or decreased LV cavity size. Congestive heart failure in cardiac amyloidosis is generally considered a predominantly diastolic phenomenon, with systolic dysfunction only occurring in late-stage disease. Echocardiography is a noninvasive, reproducible method of assessing cardiac features and function in cardiac amyloidosis, and some echocardiographic indices are prognostic for the amyloidoses, with M-mode and 2-dimensional echocardiography able to detect increased LV wall thickness. Moreover, Doppler flow measurements can incrementally assess diastolic LV dysfunction, which is characteristic of cardiac amyloidosis, and provide important prognostic information. Additionally, tissue Doppler imaging can detect subtle changes in both systolic and diastolic LV function, which cannot be detected by Doppler flow measurements, and LV longitudinal strain assessed by color tissue Doppler and speckle tracking echocardiography can provide more accurate LV functional and prognostic information than tissue Doppler imaging. This review describes the advances in echocardiography and its crucial role in the diagnosis and management ...Continue Reading

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Citations

Nov 13, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Yi-Hsin ChanWan-Jing Ho
Aug 5, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Tsunekazu TakashinaSyuichi Mayuzumi
Oct 28, 2016·Heart Failure Reviews·Lei Zhao, Quan Fang
Jan 19, 2016·Archivos de cardiología de México·Nilda Espinola-ZavaletaOctavio Barragán-García
May 23, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Seitaro OdaYasuyuki Yamashita
Jul 2, 2020·Echocardiography·Gonzalo Diaz BabioPablo Stutzbach
Apr 4, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Seitaro OdaYasuyuki Yamashita
May 7, 2020·IJC Heart & Vasculature·Maria PapathanasiouPeter Luedike

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