Heart failure & cardiomyopathies

Prevalence of Transthyretin Amyloid Cardiomyopathy in Pacemaker Patients

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

The prevalence of ATTR-CM in elderly patients with PM and LVH on echocardiography was 19%.

Study context

Population
Patients ≥65 years with permanent pacemaker from an out-patient pacemaker clinic58 with left ventricular hypertrophy (LVH)
Participants
128 patients
Outcome
Prevalence of ATTR-CM
Methodological detailsprospective, single-centre, Echocardiography at pacemaker visit; referral to 99mTc-DPD-scintigraphy and blood samples if septum thickness ≥12 mm
  • Prospective
  • Single-centre
  • Echocardiography at pacemaker visit; referral to 99mTc-DPD-scintigraphy and blood samples if septum thickness ≥12 mm

Main finding

As reported in the abstract

ATTR-CM among patients with LVH

19%

ATTR-CM in total cohort

9%

Patients with DPD-scintigraphy based ATTR-CM diagnosis

11

Observational data: associations, not effects.

Further findings

Characteristics of patients with vs without ATTR-CM

Higher cardiac biomarker concentrations with ATTR-CM
P < 0.001
Higher E/E' with ATTR-CM
P = 0.001
Lower global longitudinal strain with ATTR-CM
P = 0.003
More HF symptoms with ATTR-CM
P = 0.001

Original publication

Prevalence of Transthyretin Amyloid Cardiomyopathy in Pacemaker Patients. ESC Heart Fail. Published 10 January 2024. doi:10.1002/ehf2.14645

Composed by AI from the published abstract and checked against it. How Briefs are made →

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