Evidence map›Paper›PMID 37566193›Full record

ReviewHeart failure reviews2024

Sex differences in transthyretin cardiac amyloidosis.

Alberto Aimo, Giorgia Panichella, Manuel Garofalo, Simone Gasparini, Chiara Arzilli, Vincenzo Castiglione, Giuseppe Vergaro, Michele Emdin, Silvia Maffei

Open access · hybridAbstract readReview
In one paragraph

Review in Heart failure reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Mechanisms of damage and therapies for cardiac amyloidosis: a role for inflammation?Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Wild-type Cardiac Amyloidosis due to Transthyretin Protein - A Review.Journal of community hospital internal medicine perspectives · 2025
    Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Alberto AimoInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy. albertoaimo@libero.it.ORCID 0000-0001-9129-9519
Giorgia PanichellaInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Manuel GarofaloDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Simone GaspariniInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Chiara ArzilliFondazione Toscana Gabriele Monasterio, Pisa, Italy.
Vincenzo CastiglioneInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Giuseppe VergaroInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Michele EmdinInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Silvia MaffeiFondazione Toscana Gabriele Monasterio, Pisa, Italy.
Scuola Superiore Sant'Anna · ITFondazione Toscana Gabriele Monasterio · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transthyretin cardiac amyloidosis (ATTR-CA) is a progressive disease characterized by the deposition of abnormal transthyretin protein fibrils in the heart, leading to cardiac dysfunction. Recent evidence suggests that sex differences may play a significant role in various steps of ATTR-CA, including clinical presentation, diagnostic challenges, disease progression, and treatment outcomes. ATTR-CA predominantly affects men, whereas women are older at presentation. Women generally present with a history of heart failure with preserved ejection fraction and/or carpal tunnel syndrome. When indexed, left ventricular (LV) wall thickness is equal, or even increased, than men. Women also have smaller LV cavities, more preserved ejection fractions, and apparently a slightly worse right ventricular and diastolic function. Given the under-representation on women in clinical trials, no data regarding sex influence on the treatment response are currently available. Finally, it seems there are no differences in overall prognosis, even if premenopausal women may have a certain level of myocardial protection. Genetic variations, environmental factors, and hormonal changes are considered as potential contributors to observed disparities. Understanding sex differences in ATTR-CA is vital for accurate diagnosis and management. By considering these differences, clinicians can improve diagnostic accuracy, tailor treatments, and optimize outcomes for both sexes with ATTR-CA.

Indexed as

Amyloid Neuropathies, FamilialAmyloidosisCardiomyopathiesFemaleHeartHumansMalePrealbuminSex CharacteristicsPrealbuminATTRCardiac amyloidosisDiagnosisPrognosisSexTransthyretinTreatment

Identifiers

PMID37566193
PMCPMC10942898
OpenAlexW4385752069

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.