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Int Heart J. 2019;60(3):643-647.

Prevalence of Positive 99 mTc-DPD Scintigraphy as an Indicator of the Prevalence of Wild-type Transthyretin Amyloidosis in the Elderly.

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제1저자 김혜미 · 교신저자 손대원

PMID 31019172 DOI 10.1536/ihj.18-345 IF 1.4 순환기내과
소속 (2)
  1. Division of Cardiology, Cardiovascular Center and Department of Internal Medicine, Seoul National University Hospital.
  2. Department of Nuclear Medicine, Seoul National University Hospital.

Abstract

Senile or wild-type transthyretin (wtTTR) amyloidosis is an age-related disease caused by the deposition of wtTTR amyloid protein. In contrast to light chain amyloidosis, 99 mTc-DPD scintigraphy (DPD scan) is a useful diagnostic modality for wtTTR amyloidosis.We retrospectively analyzed patients older than 30 years who underwent DPD scanning for non-cardiac reasons at our hospital between June 2014 and March 2017 (n = 9,581). Transthoracic echocardiography was used to assess left ventricular hypertrophy (LVH), as well as systolic and diastolic function.A positive DPD scan was observed in only six patients (0.06%). All six of these patients were older than 70 years, and they constitute only 0.4% of patients in this age group (6/1652). Among the patients with a positive DPD scan, four showed concentric LVH and two showed a normal wall thickness. With respect to the severity of diastolic dysfunction and pulmonary artery pressure, patients with a positive DPD scan showed the expected E' and pulmonary artery systolic pressure for their age.Even considering the limited sensitivity of a positive DPD scan detecting wtTTR amyloidosis, the incidence of a positive DPD scan in non-cardiac patients indicated that wtTTR amyloid deposition does not seem to be a major cause for age-related diastolic dysfunction, nor does appear to have a high incidence in patients with heart failure with preserved EF in the elderly.

Keywords

Diastolic dysfunctionHeart failure with preserved ejection fraction

그 밖의 정보
출판 형태
Journal Article
저널
International heart journal · eISSN 1349-3299
전자 출판
2019-04-25
MeSH
Age Distribution · Aged · Aged, 80 and over · Amyloid Neuropathies, Familial / diagnosis / epidemiology / genetics / metabolism · Echocardiography · Female · Humans · Hypertrophy, Left Ventricular / diagnostic imaging · Male · Middle Aged · Organotechnetium Compounds / metabolism · Prealbumin / genetics · Prevalence · Retrospective Studies · Sensitivity and Specificity
Substances
Organotechnetium Compounds · Prealbumin · TTR protein, human