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Cited by 448

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Left Ventricular Amyloid Deposition in Patients With Heart Failure and Preserved Ejection Fraction

Open access
Mohammed, Selma F., Mirzoyev, Sultan A., Edwards, William D., Dogan, Ahmet, Grogan, Donna R., Dunlay, Shannon M., Roger, Veronique L., Gertz, Morie A., Dispenzieri, Angela, Zeldenrust, Steven R., Redfield, Margaret M.·2014·JACC: Heart Failure

Abstract

Objective Determine the frequency of left ventricular (LV) amyloid in heart failure with preserved ejection fraction (HFpEF). Background LV amyloid deposition can cause diastolic dysfunction and HFpEF. Methods Autopsy LV specimens from patients with ante-mortem diagnosis of HFpEF without clinically apparent amyloid (n=109) and Control subjects (n=131) were screened with sulfated alcian blue and subsequent Congo red staining with micro-dissection for mass spectrometry-based proteomics to determine amyloid type. Fibrosis was assessed with quantitative whole-field digital microscopy. Results Presence of wtTTR amyloid was associated with age at death and male sex; but the age-and sex-adjusted prevalence of wtTTR amyloid was higher in HFpEF than Control (Odds ratio 3.8, 95% confidence interval 1.5–11.3; p=0.03). Among HFpEF patients, moderate or severe interstitial wtTTR deposition, consistent with senile systemic amyloidosis as the primary etiology of HFpEF, was present in five (5%) patients (80% male), with mild interstitial and/or variable severity of intramural coronary vascular deposition in 13 (12%). While wtTTR deposition was often mild, adjusting for age and presence of HFpEF, wtTTR amyloid was associated with more fibrosis (p=0.005) and lower age, sex, and body size-adjusted heart weight (p=0.04). Conclusion Given the age- and sex-independent association of HFpEF and wtTTR deposition and an emerging understanding of the pathophysiology of the amyloidoses, the current findings support further investigation of the role of wtTTR in the pathophysiology of HFpEF.

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Metadata

Authors
Mohammed, S. F., Mirzoyev, S. A., Edwards, W. D., Dogan, A., Grogan, D. R., Dunlay, S. M., Roger, V. L., Gertz, M. A., Dispenzieri, A., Zeldenrust, S. R., & Redfield, M. M.
Venue
JACC: Heart Failure
Publisher
Elsevier BV
Published
2014-04
Volume
2
Issue
2
Pages
113-122
ISSN
2213-1779 (ISSN-L)
OpenAlex
W2076492105
Cited by
448
References
34
FWCI
7.91
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Left Ventricular Amyloid Deposition in Patients With Heart Failure and Preserved Ejection Fraction. https://app.cochat.ai/papers/10.1016/j.jchf.2013.11.004
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Mohammed, S. F., Mirzoyev, S. A., Edwards, W. D., Dogan, A., Grogan, D. R., Dunlay, S. M., Roger, V. L., Gertz, M. A., Dispenzieri, A., Zeldenrust, S. R., & Redfield, M. M. (2014). Left Ventricular Amyloid Deposition in Patients With Heart Failure and Preserved Ejection Fraction. JACC: Heart Failure. https://doi.org/10.1016/j.jchf.2013.11.004

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