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Verfasst von:Siepen, Fabian aus dem [VerfasserIn]   i
 Hein, Selina [VerfasserIn]   i
 Hofmann, Eva [VerfasserIn]   i
 Nagel, Christian [VerfasserIn]   i
 Schwarting, Stéphanie K. [VerfasserIn]   i
 Hegenbart, Ute [VerfasserIn]   i
 Schönland, Stefan [VerfasserIn]   i
 Weiler, Markus [VerfasserIn]   i
 Frey, Norbert [VerfasserIn]   i
 Kristen, Arnt [VerfasserIn]   i
Titel:Prognostic value of standard heart failure medication in patients with cardiac transthyretin amyloidosis
Verf.angabe:Fabian aus dem Siepen, Selina Hein, Eva Hofmann, Christian Nagel, Stéphanie K. Schwarting, Ute Hegenbart, Stefan O. Schönland, Markus Weiler, Norbert Frey and Arnt V. Kristen
E-Jahr:2024
Jahr:12 April 2024
Umfang:12 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 08.08.2024
Weitere Titel:Titel des special issue: Advances in the Diagnosis and Treatment of Cardiomyopathy
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2024
Band/Heft Quelle:13(2024), 8, special issue, Artikel-ID 2257, Seite 1-12
ISSN Quelle:2077-0383
Abstract:Introduction: Cardiac transthyretin amyloidosis (ATTR) is a progressive, fatal disease leading to heart failure due to accumulation of amyloid fibrils in the interstitial space and may occur as a hereditary (ATTRv) or wild-type (ATTRwt) form. Guidelines recommend the use of ACE inhibitors (ACEis) and beta-blockers (BBs) as heart failure therapy (HFT) in all patients with symptomatic heart failure and reduced ejection fraction, independent of the underlying etiology. However, the prognostic benefit of ACEis and BBs in ATTR has not been elucidated in detail yet. We thus sought to retrospectively investigate the outcome of patients with ATTRwt or ATTRv under HFT. Methods: Medical records of 403 patients with cardiac ATTR (ATTRwt: n = 268, ATTRv: n = 135) were screened for long-term medication as well as clinical, laboratory, electrocardiographic and echocardiographic data. Patients were assessed between 2005 and 2020 at the University Hospital Heidelberg. Kaplan-Meier analysis was used to analyze potential differences in survival among different subgroups. Results: The mean follow-up was 28 months. In total, 43 patients (32%) with ATTRv and 140 patients (52%) with ATTRwt received HFT. Survival was significantly shorter in patients receiving HFT in ATTRv (46 vs. 83 months, p = 0.0007) vs. non-HFT. A significantly better survival was observed in patients with comorbidities (coronary artery disease, arterial hypertension) and HFT among ATTRwt patients (p = 0.004). No significant differences in survival were observed in the other subgroups. Conclusions: Survival analysis revealed a potential benefit of HFT in patients with ATTRwt and cardiac comorbidities such as coronary artery disease and/or arterial hypertension. In contrast, HFT should be used with caution in patients with ATTRv.
DOI:doi:10.3390/jcm13082257
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3390/jcm13082257
 kostenfrei: Volltext: https://www.mdpi.com/2077-0383/13/8/2257
 DOI: https://doi.org/10.3390/jcm13082257
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:amyloidosis
 ATTR
 heart failure therapy
 transthyretin
K10plus-PPN:1898199523
Verknüpfungen:→ Zeitschrift

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