Consecutive patients followed at the Cardiac Amyloidosis Clinic at our institution with a diagnosis of ATTR-CM from November 2016 to January 2021 were included in this retrospective cohort analysis. Patients with both ATTR subtypes were included if they met the following criteria; (1) exclusion of light-chain (AL) amyloidosis through the absence of serum and urine monoclonal protein, (2) evidence of cardiac amyloidosis by either myocardial biopsy or positive technetium-99 m-pyrophosphate nuclear scintigraphy defined by grade 2–3 myocardial uptake or heart-to-contralateral lung ratio > 1.5, as previously described [10 (link)], and (3) either hATTR or wtATTR based upon results of genetic testing or proteomic analysis by mass spectrometry performed on biopsy tissue samples. Patients with non-ATTR subtypes of amyloidosis or those with < 12 months clinical follow-up were excluded. Clinical, medication, biochemical and cardiac imaging data were collected at the time of ATTR-CM diagnosis. This study was approved by the University of Calgary Research Ethics Board, and the requirement for informed written patient consent was waived.
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