Evidence map›Paper›PMID 40681272›Full record

ArticleJACC. Case reports2025

Challenges in Diagnosing Systemic Amyloidosis.

Catarina Gregório, Ana Beatriz Garcia, Marta Vilela, Miguel Nobre Menezes, Catarina Quadros, Fausto J Pinto, Dulce Brito

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Catarina GregórioDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal. Electronic address: catarina.s.gregorio@ulssm.min-saude.pt.
Ana Beatriz GarciaDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Marta VilelaDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Miguel Nobre MenezesDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Catarina QuadrosPathology Department, Hospital de Santa Maria, ULSSM, Lisbon, Portugal.
Fausto J PintoDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.
Dulce BritoDepartment of Cardiology, Hospital de Santa Maria (ULSSM), CAML, CCUL@RISE, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe diagnosis of cardiac amyloidosis can be achieved noninvasively for transthyretin amyloid cardiomyopathy through nuclear scintigraphy with bone tracers. For other subtypes of cardiac amyloidosis (eg, light-chain amyloid cardiomyopathy), or in cases of suspected transthyretin amyloid cardiomyopathy with nondiagnostic scintigraphy results, histologic confirmation via tissue biopsy and amyloid subtype identification is required. CASE SUMMARY: We present a case of a 66-year-old male with heart failure and left ventricular hypertrophy with evidence of systemic amyloidosis. Despite multiple biopsies of different organs and extensive testing, including mass spectrometry, the amyloid subtype could not be clearly identified. The patient's condition rapidly deteriorated without the initiation of targeted therapy, leading to multiple hospitalizations and an unfavorable prognosis. TAKE-HOME MESSAGE: This case emphasizes the diagnostic challenges in cardiac amyloidosis and highlights the importance of continuous advancements in diagnostic techniques to improve patient outcomes with this complex disease.

Indexed as

cardiac amyloidosisheart failuremass spectrometrymonoclonal gammopathy of undetermined significancesubtyping

Identifiers

PMID40681272
PMCPMC12441331

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.