Diagnosis and Treatment of Cardiac Amyloidosis Related to Plasma Cell Dyscrasias.

Cardiol Clin

Division of Cardiovascular Medicine, Stanford Amyloid Center, Stanford University School of Medicine, 300 Pasteur Drive, Lane #158, Stanford, CA 94305, USA. Electronic address:

Published: November 2019

Light chain amyloidosis is a deadly disease in which a monoclonal plasma cell dyscrasia produces misfolded immunoglobulin light chains (AL) that aggregate and form rigid amyloid fibrils. The amyloid deposits infiltrate one or more organs, leading to injury and severe dysfunction. The degree of cardiac involvement is a major driver of morbidity and mortality. Early diagnosis and treatment are crucial to prevent irreversible end-organ damage and improve overall survival. Treatment of AL cardiac amyloidosis involves eliminating the underlying plasma cell dyscrasia with chemotherapy and pursuing supportive heart failure management.

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http://dx.doi.org/10.1016/j.ccl.2019.07.013DOI Listing

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