Heart failure & cardiomyopathies

Age- and Sex-Related Differences in Patients With Wild-Type Transthyretin Amyloidosis: Insights From THAOS

JACC AdvPublished Cross-sectional analysis of a longitudinal observational survey

Authors' conclusion

In this THAOS analysis of patients with ATTRwt amyloidosis, patients were diagnosed an average of 2 years after symptom onset, with the greatest diagnostic delay in women aged <70 years at 5 years. Patients were predominantly men, but the proportion of women increased with age. A substantial proportion of patients had significant functional impairment regardless of age.

Study context

Population
Patients with wild-type transthyretin amyloidosis (ATTRwt) enrolled in THAOS
Participants
1,251 patients
Exposure
Age groups and sex
Outcome
Age distribution, proportion of women, time from symptom onset to diagnosis, Karnofsky Performance Status ≤70
Follow-up
Enrollment
Methodological detailsTHAOS, global, analysis at enrollment, Data cutoff August 1, 2022
  • THAOS
  • Global
  • Analysis at enrollment
  • Data cutoff August 1, 2022

Main finding

As reported in the abstract

Age distribution, proportion of women, time from symptom onset to diagnosis, Karnofsky Performance Status ≤70 · enrollment

Women <70 years 4.1% · ≥90 years 14.3%

Median time symptom onset to diagnosis overall (male, female) <70 years 1.7 (1.3, 5.2) years · 70 to 79 years 2.0 (2.0, 2.2) years · 80 to 89 years 1.8 (1.9, 0.8) years · ≥90 years 0.7 (0.6, 2.5) years

Karnofsky score ≤70

Observational data: associations, not effects.

Original publication

Age- and Sex-Related Differences in Patients With Wild-Type Transthyretin Amyloidosis: Insights From THAOS. JACC Adv. Published 12 July 2024. doi:10.1016/j.jacadv.2024.101086

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