张宁, 魏文迎, 吴颖, 王茂敬, 赵青. 心肌淀粉样变的诊断及治疗进展[J]. 心脏杂志, 2020, 32(5): 543-547. DOI: 10.12125/j.chj.202006086
    引用本文: 张宁, 魏文迎, 吴颖, 王茂敬, 赵青. 心肌淀粉样变的诊断及治疗进展[J]. 心脏杂志, 2020, 32(5): 543-547. DOI: 10.12125/j.chj.202006086
    Ning ZHANG, Wen-ying WEI, Ying WU, Mao-jing WANG, Qing ZHAO. Advances in diagnosis and treatment of cardiac amyloidosis[J]. Chinese Heart Journal, 2020, 32(5): 543-547. DOI: 10.12125/j.chj.202006086
    Citation: Ning ZHANG, Wen-ying WEI, Ying WU, Mao-jing WANG, Qing ZHAO. Advances in diagnosis and treatment of cardiac amyloidosis[J]. Chinese Heart Journal, 2020, 32(5): 543-547. DOI: 10.12125/j.chj.202006086

    心肌淀粉样变的诊断及治疗进展

    Advances in diagnosis and treatment of cardiac amyloidosis

    • 摘要: 心肌淀粉样变为非折叠蛋白在心肌组织沉积,进而导致心脏结构及功能损伤。虽然对心肌淀粉样变的认识逐步深入,但是很多患者诊断为心肌淀粉样变时已经是终末期。本文将综述轻链型淀粉样变(AL)、老年型系统性淀粉样变(wtATTR)及遗传型淀粉样变(mATTR)最新诊疗方法,为心肌淀粉样变的早期诊断、早期治疗提供新的思路。

       

      Abstract: Cardiac amyloidosis is characterized by misfolded autologoue protein infiltrating into myocardial tissues, resulting in cardiac dysfunction and structure change. Although considerable progress in understanding the pathophysiology of cardiac amyloidosis, the diagnosis of cardiac amyloidosis is often overlooked in early stage. This review is focused on early diagnosis detection and treatment improvement in light chain amyloidosis (AL), senile systemic amyloidosis (wtATTR), and hereditary (familial) amyloidosis (mATTR), which will open up new ways for cardiac amyloidosis therapy.

       

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