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1 ATTR are caused by aggregation of transthyretin (TTR), a
2 ATTR can result from substitution of valine for isoleuci
3 subjects with autopsy-documented AL (n=10), ATTR (n=10), and nonamyloid controls (n=10) using (18)F-
5 e subjects (12 AL, 16 ATTR wild type, and 17 ATTR mutants) underwent (99m)Tc-PYP planar and single-ph
6 ign and rationale behind the ongoing phase 3 ATTR-ACT study (Tafamidis in Transthyretin Cardiomyopath
7 olume of 0.40 to 0.43 (AL) and 0.39 to 0.40 (ATTR) and to transmural at 0.48 to 0.55 (AL) and 0.47 to
11 m transthyretin-related cardiac amyloidoses (ATTR) is imperative given implications for prognosis, th
20 Lkappa, ALlambda, transthyretin amyloidosis (ATTR), and Abeta amyloid deposits in tissue sections.
23 to study systemic amyloidosis of type AL and ATTR affecting the heart and should be investigated furt
26 apir specifically binds to myocardial AL and ATTR deposits in humans and offers the potential to scre
28 sthyretin cardiac amyloidosis (also known as ATTR cardiac amyloidosis) is an increasingly recognized
30 >99% sensitive and 86% specific for cardiac ATTR amyloid, with false positives almost exclusively fr
31 ty and positive predictive value for cardiac ATTR amyloidosis of 100% (positive predictive value conf
32 noninvasive diagnostic criteria for cardiac ATTR amyloidosis that are applicable to the majority of
34 cintigraphy enables the diagnosis of cardiac ATTR amyloidosis to be made reliably without the need fo
35 d) cardiac uptake, 17 with suspected cardiac ATTR (grade 1 (99m)Tc-DPD), and 12 asymptomatic individu
36 Subjects comprised 263 patients with cardiac ATTR corroborated by grade 2 to 3 (99m)Tc-DPD ((99m)Tc-3
38 rty-four patients with genetically confirmed ATTR were assessed; 37 were symptomatic; mean age at ons
40 ensitivity and 92% specificity for detecting ATTR cardiac amyloidosis with an area under the curve of
41 m PYP) cardiac imaging noninvasively detects ATTR cardiac amyloidosis, but the accuracy of this techn
42 clinical parameters accurately discriminated ATTR V122I amyloidosis from nonamyloid HF in a case-matc
44 ielded excellent discriminatory capacity for ATTR V122I amyloidosis (AUC = 0.97; 95% CI, 0.93-1.00),
48 PYP cardiac imaging as a diagnostic tool for ATTR cardiac amyloidosis and its association with surviv
49 Tc-PYP cardiac imaging distinguishes AL from ATTR cardiac amyloidosis and may be a simple, widely ava
50 hod was successfully tested using serum from ATTR patients with known variants (Val30-->Met and Val12
51 d after liver transplantation for hereditary ATTR amyloidosis, although gastrointestinal symptom scor
52 inal manifestations are common in hereditary ATTR amyloidosis and are important for the patients' mor
55 ts with ATTR than in those with AL; however, ATTR is associated with higher cell volume, which sugges
58 patients have the T60A missense mutation in ATTR where tyrosine is replaced by adenine at position 6
62 t of cardiomyopathy and heart failure in LTx ATTR amyloid patients is related to amyloid fibril compo
63 utcomes for a relatively large series of LTx ATTR patients with the Val30Met (mutation are available,
64 L (mean age, 62 years +/- 10), 44 had mutant ATTR (mean age, 68 years +/- 10), and 66 had wild-type A
65 ECV, mean AL was 0.54 +/- 0.07, mean mutant ATTR was 0.60 +/- 0.07, and mean wild-type ATTR was 0.57
66 , mean AL was 107 g/m(2) +/- 30; mean mutant ATTR was 137 g/m(2) +/- 29; and mean wild-type ATTR was
67 ith ATTR cardiac amyloidosis and 50 with non-ATTR cardiac amyloidosis [34 with AL amyloidosis and 16
68 ata from the largest international cohort of ATTR V122I patients, followed up at the UK National Amyl
72 lgorithm may be useful for identification of ATTR V122I amyloidosis in elderly African American patie
73 identified RBP4 as a sensitive identifier of ATTR V122I amyloidosis (area under the curve [AUC] = 0.7
75 tor cohort of 25 patients with biopsy-proven ATTR V122I amyloidosis recruited from September 1, 2009,
77 s, and the hereditary and "senile systemic" (ATTR) variants from mutant and wild-type transthyretin (
81 ); P<0.001), and in the AL compared with the ATTR samples (2.48+/-0.40 versus 1.52+/-0.22 DPM/mm(2);
82 globulin light chain (AL) and transthyretin (ATTR) amyloidosis, are substantially influenced by cardi
84 oglobulin light-chain (AL) or transthyretin (ATTR) type-and healthy volunteers (n = 5) were investiga
87 t ATTR was 0.60 +/- 0.07, and mean wild-type ATTR was 0.57 +/- 0.06 versus 0.27 +/- 0.03 in healthy s
88 TR was 137 g/m(2) +/- 29; and mean wild-type ATTR was 133 g/m(2) +/- 27 versus 65 g/m(2) +/- 15 in he
89 Here, we present outcomes for non-Val30Met ATTR patients after LTx, as reported to the Familial Amy
91 9m PYP imaging of 171 participants (121 with ATTR cardiac amyloidosis and 50 with non-ATTR cardiac am
92 regression analyses among participants with ATTR cardiac amyloidosis showed that an H/CL ratio of 1.
93 hy (LVH) was present in 79% of patients with ATTR (70% sigmoid septum and 30% reverse septal contour)
94 ntly higher percentage of U.S. patients with ATTR amyloid seen at cardiology sites had wild-type dise
95 tively recruited subjects, 122 patients with ATTR amyloid, 9 asymptomatic mutation carriers, and 119
96 observational cohort study of patients with ATTR attending the National Hospital Inherited Neuropath
97 ificity for differentiation of patients with ATTR cardiac amyloidosis (irrespective of genotype) from
100 eposition is more extensive in patients with ATTR than in those with AL; however, ATTR is associated
101 ns were similar between the 25 patients with ATTR V122I amyloidosis (mean [SD] age, 72.2 [7.4] years;
102 ejection fraction was lower in patients with ATTR V122I amyloidosis (mean [SD], 40% [14%] vs 57% [14%
103 BP4 concentration was lower in patients with ATTR V122I amyloidosis compared with nonamyloid controls
104 frican American patients and 9 patients with ATTR V122I amyloidosis comprised the validation cohort.
106 tracellular volume, whereas in patients with ATTR, the increase is extracellular, with an additional
108 ailable method for identifying subjects with ATTR cardiac amyloidosis, which should be studied in a l
109 In addition, eight healthy subjects with ATTR mutations (mean age, 47 years +/- 6) and 47 healthy
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