Advancements in Cardiac Amyloidosis Treatment

Cardiac amyloidosis (CA) is a progressive condition resulting from the deposition of amyloid fibrils in the heart, which leads to severe diastolic dysfunction and restrictive cardiomyopathy. The disease has two main subtypes: light-chain and transthyretin (TTR) CA, with the latter subdivided into wi...

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Main Authors: Tarek Ziad Arabi, Abdullah Shaik, Ahmed El-Shaer, Omar Al Tamimi, Eman Nayaz Ahmed, Mohamad S. Alabdaljabar, Ahmad Safdar, Ali Mushtaq
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/79
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author Tarek Ziad Arabi
Abdullah Shaik
Ahmed El-Shaer
Omar Al Tamimi
Eman Nayaz Ahmed
Mohamad S. Alabdaljabar
Ahmad Safdar
Ali Mushtaq
author_facet Tarek Ziad Arabi
Abdullah Shaik
Ahmed El-Shaer
Omar Al Tamimi
Eman Nayaz Ahmed
Mohamad S. Alabdaljabar
Ahmad Safdar
Ali Mushtaq
author_sort Tarek Ziad Arabi
collection DOAJ
description Cardiac amyloidosis (CA) is a progressive condition resulting from the deposition of amyloid fibrils in the heart, which leads to severe diastolic dysfunction and restrictive cardiomyopathy. The disease has two main subtypes: light-chain and transthyretin (TTR) CA, with the latter subdivided into wild-type and hereditary forms. Despite advances in diagnostic imaging, early detection remains a challenge due to non-specific symptoms that mimic other cardiac conditions. Treatment has evolved significantly with targeted therapies like TTR stabilizers, gene silencers, and RNA interference, showing promise in altering disease progression. However, barriers such as high costs, limited availability of genetic testing, and inadequate multidisciplinary care continue to impede comprehensive management. Future strategies should focus on integrating novel gene-editing therapies, expanding access to diagnostics, and enhancing multidisciplinary care models to improve outcomes. Overall, early diagnosis, equitable access to therapies, and personalized management plans are crucial to advancing care for CA patients.
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institution Kabale University
issn 2227-9059
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publishDate 2024-12-01
publisher MDPI AG
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series Biomedicines
spelling doaj-art-a699703fe8344aaf92fbd552f07272712025-01-24T13:23:56ZengMDPI AGBiomedicines2227-90592024-12-011317910.3390/biomedicines13010079Advancements in Cardiac Amyloidosis TreatmentTarek Ziad Arabi0Abdullah Shaik1Ahmed El-Shaer2Omar Al Tamimi3Eman Nayaz Ahmed4Mohamad S. Alabdaljabar5Ahmad Safdar6Ali Mushtaq7College of Medicine, Alfaisal University, Riyadh 11533, Saudi ArabiaDepartment of Internal Medicine, Henry Ford St. John Hospital, Detroit, MI 48236, USADepartment of Internal Medicine, Creighton University School of Medicine, Omaha, NE 68124, USAInternal Medicine, Southern Illinois University School of Medicine, Springfield, IL 62702, USACollege of Medicine, Alfaisal University, Riyadh 11533, Saudi ArabiaDepartment of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USADepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USADepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USACardiac amyloidosis (CA) is a progressive condition resulting from the deposition of amyloid fibrils in the heart, which leads to severe diastolic dysfunction and restrictive cardiomyopathy. The disease has two main subtypes: light-chain and transthyretin (TTR) CA, with the latter subdivided into wild-type and hereditary forms. Despite advances in diagnostic imaging, early detection remains a challenge due to non-specific symptoms that mimic other cardiac conditions. Treatment has evolved significantly with targeted therapies like TTR stabilizers, gene silencers, and RNA interference, showing promise in altering disease progression. However, barriers such as high costs, limited availability of genetic testing, and inadequate multidisciplinary care continue to impede comprehensive management. Future strategies should focus on integrating novel gene-editing therapies, expanding access to diagnostics, and enhancing multidisciplinary care models to improve outcomes. Overall, early diagnosis, equitable access to therapies, and personalized management plans are crucial to advancing care for CA patients.https://www.mdpi.com/2227-9059/13/1/79cardiac amyloidosistreatmentdiagnosischallenges
spellingShingle Tarek Ziad Arabi
Abdullah Shaik
Ahmed El-Shaer
Omar Al Tamimi
Eman Nayaz Ahmed
Mohamad S. Alabdaljabar
Ahmad Safdar
Ali Mushtaq
Advancements in Cardiac Amyloidosis Treatment
Biomedicines
cardiac amyloidosis
treatment
diagnosis
challenges
title Advancements in Cardiac Amyloidosis Treatment
title_full Advancements in Cardiac Amyloidosis Treatment
title_fullStr Advancements in Cardiac Amyloidosis Treatment
title_full_unstemmed Advancements in Cardiac Amyloidosis Treatment
title_short Advancements in Cardiac Amyloidosis Treatment
title_sort advancements in cardiac amyloidosis treatment
topic cardiac amyloidosis
treatment
diagnosis
challenges
url https://www.mdpi.com/2227-9059/13/1/79
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AT emannayazahmed advancementsincardiacamyloidosistreatment
AT mohamadsalabdaljabar advancementsincardiacamyloidosistreatment
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