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Cited by 268

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Multiparametric Echocardiography Scores for the Diagnosis of Cardiac Amyloidosis

Open access
Boldrini, Michele, Cappelli, Francesco, Chacko, Liza, Restrepo-Cordoba, Maria Alejandra, Lopez-Sainz, Angela, Giannoni, Alberto, Aimo, Alberto, Baggiano, Andrea, Martinez-Naharro, Ana, Whelan, Carol, Quarta, Cristina, Passino, Claudio, Castiglione, Vincenzo, Chubuchnyi, Vladyslav, Spini, Valentina, Taddei, Claudia, Vergaro, Giuseppe, Petrie, Aviva, Ruiz-Guerrero, Luis, Moñivas, Vanessa, Mingo-Santos, Susana, Mirelis, Jesus G., Dominguez, Fernando, Gonzalez-Lopez, Esther, Perlini, Stefano, Pontone, Gianluca, Gillmore, Julian, Hawkins, Philip N., Garcia-Pavia, Pablo, Emdin, Michele, Fontana, Marianna·2020·JACC: Cardiovascular Imaging
DOI 10.1016/j.jcmg.2019.10.011
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Abstract

OBJECTIVES This study aimed to investigate the accuracy of a broad range of echocardiographic variables to develop multiparametric scores to diagnose CA in patients with proven light chain (AL) amyloidosis or those with increased heart wall thickness who had amyloid was suspected. We also aimed to further characterize the structural and functional changes associated with amyloid infiltration. BACKGROUND Cardiac amyloidosis (CA) is a serious but increasingly treatable cause of heart failure. Diagnosis is challenging and frequently unclear at echocardiography, which remains the most often used imaging tool. METHODS We studied 1,187 consecutive patients evaluated at 3 referral centers for CA and analyzed morphological, functional, and strain-derived echocardiogram parameters with the aim of developing a score-based diagnostic algorithm. Cardiac amyloid burden was quantified by using extracellular volume measurements at cardiac magnetic resonance. RESULTS A total of 332 patients were diagnosed with AL amyloidosis and 339 patients with transthyretin CA. Concentric remodeling and strain-derived parameters displayed the best diagnostic performance. A multivariable logistic regression model incorporating relative wall thickness, E wave/e' wave ratio, longitudinal strain, and tricuspid annular plane systolic excursion had the greatest diagnostic performance in AL amyloidosis (area under the curve: 0.90; 95% confidence interval: 0.87 to 0.92), whereas the addition of septal apical-to-base ratio yielded the best diagnostic accuracy in the increased heart wall thickness group (area under the curve: 0.80; 95% confidence interval: 0.85 to 0.90). CONCLUSIONS Specific functional and structural parameters characterize different burdens of CA deposition with different diagnostic performances and enable the definition of 2 scores that are sensitive and specific tools with which diagnose or exclude CA.

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Metadata

Authors
Boldrini, M., Cappelli, F., Chacko, L., Restrepo-Cordoba, M. A., Lopez-Sainz, A., Giannoni, A., Aimo, A., Baggiano, A., Martinez-Naharro, A., Whelan, C., Quarta, C., Passino, C., Castiglione, V., Chubuchnyi, V., Spini, V., Taddei, C., Vergaro, G., Petrie, A., Ruiz-Guerrero, L., Moñivas, V., Mingo-Santos, S., Mirelis, J. G., Dominguez, F., Gonzalez-Lopez, E., Perlini, S., Pontone, G., Gillmore, J., Hawkins, P. N., Garcia-Pavia, P., Emdin, M., & Fontana, M.
Venue
JACC: Cardiovascular Imaging
Publisher
Elsevier BV
Published
2020-04
Volume
13
Issue
4
Pages
909-920
ISSN
  • 1876-7591 (ISSN-L)
  • 1936-878X
DOI
10.1016/j.jcmg.2019.10.011
OpenAlex
W2995871188
Cited by
268
References
24
FWCI
6.66
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Multiparametric Echocardiography Scores for the Diagnosis of Cardiac Amyloidosis. https://app.cochat.ai/papers/10.1016/j.jcmg.2019.10.011
The paper
Boldrini, M., Cappelli, F., Chacko, L., Restrepo-Cordoba, M. A., Lopez-Sainz, A., Giannoni, A., Aimo, A., Baggiano, A., Martinez-Naharro, A., Whelan, C., Quarta, C., Passino, C., Castiglione, V., Chubuchnyi, V., Spini, V., Taddei, C., Vergaro, G., Petrie, A., Ruiz-Guerrero, L., . . . Fontana, M. (2020). Multiparametric Echocardiography Scores for the Diagnosis of Cardiac Amyloidosis. JACC: Cardiovascular Imaging. https://doi.org/10.1016/j.jcmg.2019.10.011

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.