Racial and Ethnic Disparities in Transthyretin Cardiac Amyloidosis View Full Text


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Article Info

DATE

2021-04-04

AUTHORS

Gabriela Spencer-Bonilla, Joyce N. Njoroge, Keon Pearson, Ronald M. Witteles, Mandar A. Aras, Kevin M. Alexander

ABSTRACT

Purpose of ReviewTransthyretin amyloid cardiomyopathy (ATTR-CM) is a life-threatening disease that disproportionately affects older adults and people of African descent. This review discusses current knowledge regarding racial and ethnic disparities in the diagnosis and management of ATTR-CM.Recent FindingsHistorically, ATTR-CM was thought to be a rare cause of heart failure. Recent evidence has shown that ATTR-CM is more common among older adults, men, and people of African descent. In addition, significant geographic variation exists in the identification of amyloid cardiomyopathy. Despite the high burden of ATTR-CM among Black individuals, most clinical data for ATTR-CM are from North America and Europe. Moreover, only a minority of clinical trial participants thus far have been Black patients. In addition to racial differences, socioeconomic disparities may be further compounded by the potentially prohibitive cost and limited accessibility of disease-modifying ATTR therapies.SummaryATTR-CM is an important cause of heart failure that disproportionately affects people of African descent. Efforts to promote earlier identification of ATTR-CM in general practice will likely improve clinical outcomes for all groups. Future trials should strive to enroll a higher proportion of Black patients. Furthermore, enhanced efforts are warranted to improve treatment accessibility among racial and ethnic minority groups that may be more likely to be affected by ATTR-CM. More... »

PAGES

8

References to SciGraph publications

  • 2018-04-23. Diagnostic accuracy of bone scintigraphy in the assessment of cardiac transthyretin-related amyloidosis: a bivariate meta-analysis in EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
  • 2020-02-17. Dissecting racial disparities in multiple myeloma in BLOOD CANCER JOURNAL
  • 2020-10-10. Advances in the Diagnosis and Management of Transthyretin Amyloid Cardiomyopathy in CURRENT TREATMENT OPTIONS IN CARDIOVASCULAR MEDICINE
  • 2019-08-02. Cardiac Amyloidosis: Updates in Imaging in CURRENT CARDIOLOGY REPORTS
  • 2015-03-11. Cardiac amyloidosis: the great pretender in HEART FAILURE REVIEWS
  • 2020-01-20. Diagnosis of Amyloidosis: A Survey of Current Awareness and Clinical Challenges Among Cardiologists in Switzerland in CARDIOLOGY AND THERAPY
  • 2014-12-02. Natural history and therapy of AL cardiac amyloidosis in HEART FAILURE REVIEWS
  • 2020-11-10. Race/ethnicity in systemic AL amyloidosis: perspectives on disease and outcome disparities in BLOOD CANCER JOURNAL
  • 2019-08-29. ASNC/AHA/ASE/EANM/HFSA/ISA/SCMR/SNMMI expert consensus recommendations for multimodality imaging in cardiac amyloidosis: Part 2 of 2—Diagnostic criteria and appropriate utilization in JOURNAL OF NUCLEAR CARDIOLOGY
  • 2003-11-19. Haplotypes and DNA sequence variation within and surrounding the transthyretin gene: genotype–phenotype correlations in familial amyloid polyneuropathy (V30M) in Portugal and Sweden in EUROPEAN JOURNAL OF HUMAN GENETICS
  • 2013-02-20. Guideline of transthyretin-related hereditary amyloidosis for clinicians in ORPHANET JOURNAL OF RARE DISEASES
  • 2019-08-02. Estimating the Prevalence of Transthyretin Amyloid Cardiomyopathy in a Large In-Hospital Database in Japan in CARDIOLOGY AND THERAPY
  • 2018-07-03. Amyloidosis due to TTR mutations in Mexico with 4 distincts genotypes in the index cases in ORPHANET JOURNAL OF RARE DISEASES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12170-021-00670-y

    DOI

    http://dx.doi.org/10.1007/s12170-021-00670-y

    DIMENSIONS

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    PUBMED

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