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Table 1. Classification of amyloidosis with cardiac involvement.

Main disorders Amyloidogenic proteins Main organ involvement Extra-cardiac presentations Outcomes and management
AL Plasma cell dyscrasia Light chain (Plasma cell dyscrasia) Heart (~70%), kidney (~70%), liver (~40%), nerve (~20%) Fatigue, ecchymosis, shoulder pad pain, Macroglossia, diarrhea Chemotherapy, ASCT
ATTRv Inherited ATTR gene mutation Transthyretin Nerve (major, ~70%), heart (30~100%), kidney (~20%) Autonomic dysfunction, Spinal stenosis, CTS TTR stabilizer, oligonucleotide therapy, liver transplantation
ATTRwt Aging Transthyretin Heart (100%), kidney (~20%), nerve (~20%) Spinal stenosis, CTS, Biceps tendon rupture TTR stabilizer
AA Systemic or inflammatory diseases Serum amyloid A Kidney (major, ~70%), heart (~5%), liver (~20%) Nephropathy, hepatomegaly Control of inflammatory disease
Aβ2M Hemodialysis β2-microglobulin Heart (~80%), nerve (~16%), CTS No specific therapy
HGA AD inherited form Gelsolin Nerve (~70%), eyes (~80%), skin (~80%), heart (~5%) Cranial and peripheral neuropathy, corneal lattice dystrophy, cutis laxa (loose skin) No specific therapy (similar life scan)

AA, serum amyloid A amyloidosis; AD, autosomal dominant; AL, amyloid light-chain; ASCT, autologous stem cell transplant; ATTRv, hereditary transthyretin amyloidosis; ATTRwt, wild-type transthyretin amyloidosis; Aβ2M, β2-microglobulin; CTS, carpal tunnel syndrome; HGA, hereditary gelsolin amyloidosis; TTR, transthyretin.