Evidence map›Paper›PMID 41209119›Full record

ReviewReviews in cardiovascular medicine2025

Cardiac Amyloidosis in the Real World: Clinical Presentations, Disease Overlap, and Therapeutic Imperatives.

Karim Ali, Ahmed E Ali, Ahmad Alayyat, Mohamed K Awad, Hussain Majeed, Mohamed S Amer, Ahmed Sami Abuzaid

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Karim AliDepartment of Internal Medicine, Hennepin County Medical Center, Minneapolis, MN 55415, USA.ORCID https://orcid.org/0000-0003-4318-8843
Ahmed E AliDepartment of Internal Medicine, Crestwood Medical Center, Huntsville, AL 35801, USA.ORCID https://orcid.org/0000-0002-0388-3174
Ahmad AlayyatDepartment of Internal Medicine, Hamilton Medical Center, Dalton, GA 30720, USA.ORCID https://orcid.org/0000-0002-6494-388X
Mohamed K AwadDepartment of Critical Care, Faculty of Medicine, Ain Shams University, 11646 Cairo, Egypt.ORCID https://orcid.org/0000-0001-6501-6845
Hussain MajeedDepartment of Internal Medicine, Northeast Georgia Medical Center, Gainesville, GA 30501, USA.ORCID https://orcid.org/0009-0004-3295-2484
Mohamed S AmerDepartment of Cardiology, El Mansoura International Hospital, 35516 Mansoura, Egypt.
Ahmed Sami AbuzaidAlaska Heart and Vascular Institute, University of Alaska, Anchorage, AK 99571, USA.ORCID https://orcid.org/0000-0002-9041-1844

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac amyloidosis (CA) has emerged from the margins of cardiology to the forefront of research and practice on heart failure. Once regarded as rare and elusive, CA is now recognized as a significant cause of heart failure with preserved ejection fraction (HFpEF), arrhythmias, and valvular disease, especially in older patients. CA is characterized by extracellular deposition of misfolded protein fibrils, which infiltrate the myocardium and disrupt the structural and electrical integrity. Although CA can stem from multiple amyloid types, transthyretin amyloidosis (ATTR) and light-chain (AL) amyloidosis are the predominant subtypes with cardiac involvement, each carrying distinct implications for prognosis and therapy. This review explores CA as a clinical reality often obscured by more common cardiovascular syndromes. Moreover, this review focuses on the varied presentations of CA in real-world practice, how the condition overlaps with HFpEF, the subtle clues for CA amid common valvular disorders, and the complex rhythm manifestations of the condition. Particular attention is given to thromboembolic risk, microvascular dysfunction, and the evolving paradigm of preclinical or asymptomatic amyloidosis management. Furthermore, this review addresses contemporary challenges such as financial toxicity and the cost-effectiveness of screening, emphasizing the benefits of early detection and therapy. The paper also discusses risk stratification and staging, drawing from validated models to guide both prognosis and treatment decisions, and the role of histopathological characterization. Thus, this review underscores the importance of timely recognition and tailored intervention in transforming CA from a terminal diagnosis into a manageable chronic condition.

Indexed as

AL amyloidosisamyloid biomarkersaortic stenosisartificial intelligence in cardiologybone scintigraphycardiac amyloidosiscardiac magnetic resonance imagingendomyocardial biopsy002Eheart failure with preserved ejection fractiontransthyretin amyloidosis

Identifiers

PMID41209119
PMCPMC12593812

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.