Bone Scintigraphy, Cardiac Amyloidosis, CMR, Diagnosis, Echocardiography, Heart Failure With Preserved Ejection Fraction, Prevalence
Conditions
Brief summary
Cardiac amyloidosis (CA) has recently been reported as a common cause of heart failure with preserved left ventricular ejection fraction (HFpEF), with a prevalence of 6% in elderly HFpEF patients. However, the diagnosis of CA is still challenging and requires multiple costly investigations. Regardless of the type of CA, TTR or AL, early diagnosis significantly improves prognosis. In this study, the investigators aimed to determine the prevalence of CA in Tunisian HFpEF patients and to identify clinical and ultrasound criteria predictive of CA.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* HFpEF during the previous year * IVS thickness of 12mm or greater
Exclusion criteria
* age under 60 years * Acute coronary syndrome complicated by HFpEF * Congenital heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of cardiac amyloidosis among HFpEF old Tunisian Patients | one year | Prevalence of cardiac amyloidosis in a Tunisian cohort of HFpEF patients aged 60 years or older with interventricular septal thickness equal to or greater than 12 mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Identify imaging criteria predictive of cardiac amyloidosis on CMR and echocardiography | one year | Number of cardiac amyloidosis patients with impaired global longitudinal left ventricular strain and/or impaired left atrial strain on echocardiography and/or elevated extra cellular volume (ECV) on CMR. |
| Frequency of different types of cardiac amyloidosis | one year | — |
Countries
Tunisia
Contacts
University of Tunis El Manar, Faculty of Medicine of Tunis, Tunisia