Prevalence and Prognostic Significance of Restriction Versus Systolic Dysfunction in Patients With Transthyretin and Light Chain Cardiac Amyloidosis

Restriction was the most common presenting phenotype, while preserved LV function represented approximately one-third. The rate of progression from preserved LV function towards restriction was high, whereas it was limited towards systolic dysfunction. Although patients with preserved LV function presented the best event-free survival, considering all-cause mortality and heart transplantation, compared with restriction or systolic dysfunction, these phenotypes are not independent predictors of this composite end point.

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Publication Details

Journal
Circulation Heart Failure
Published
2026-02-24
DOI
https://doi.org/10.1161/circheartfailure.125.012337
Primary Topic
Amyloidosis: Diagnosis, Treatment, Outcomes
Type
article
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article

Prevalence and Prognostic Significance of Restriction Versus Systolic Dysfunction in Patients With Transthyretin and Light Chain Cardiac Amyloidosis

Simone Longhi, Beatrice Musumeci, Camillo Autore, Carlotta Mazzoni et al.
Circulation Heart Failure
Amyloidosis: Diagnosis, Treatment, Outcomes
article

Prevalence and Prognostic Significance of Restriction Versus Systolic Dysfunction in Patients With Transthyretin and Light Chain Cardiac Amyloidosis

Simone Longhi, Beatrice Musumeci, Camillo Autore, Carlotta Mazzoni, Marianna Eleonora Labate, Federico Perfetto, Alberto Ponziani, Mattia Zampieri, Giulia Biagioni, Elena Biagini, Giulia Saturi, Luca Bordignon, Margherita Zanoletti, Annamaria Del Franco, Marco Canepa, Giacomo Tini, E B Emanuele Barbato, C Fumagalli, Italo Porto, Alessia Argirò, Giuseppe Sena, Iacopo Olivotto, Marco Merlo, Aldostefano Porcari, Gianfranco Sinagra, Vera Fico, Francesco Cappelli
article en

Abstract

Restriction was the most common presenting phenotype, while preserved LV function represented approximately one-third. The rate of progression from preserved LV function towards restriction was high, whereas it was limited towards systolic dysfunction. Although patients with preserved LV function presented the best event-free survival, considering all-cause mortality and heart transplantation, compared with restriction or systolic dysfunction, these phenotypes are not independent predictors of this composite end point.

Circulation Heart FailureVol. 19(3)
Università degli studi di Cassino e del Lazio Meridionale (IT), Amyloidosis Foundation (US), Meyer Children's Hospital (IT), Azienda Ospedaliero-Universitaria Careggi (IT), Azienda Ospedaliera Universitaria Senese (IT), ERN GUARD-Heart (NL), Ospedale Policlinico San Martino (IT), Azienda Sanitaria Universitaria Integrata di Trieste (IT), University College London (GB), University of Genoa (IT), Sapienza University of Rome (IT)
Good health and well-being
Openalex Percentile: Top 44%
Amyloidosis: Diagnosis, Treatment, Outcomes
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