In a patient with cardiac light chain amyloid who has significant heart failure symptoms, including inotrope dependence at presentation, how much clinical benefit does treatment provide?
How long would you treat before considering palliative care alone?
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What systemic therapy would you offer a patient with cardiac Stage IIIB (high-sensitivity troponin >50 ng/L and NT-proBNP > 8,500 pg/mL) AL amyloidosis?
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1 Answer
Mednet MemberInvited Expert
Medical Oncology · Mayo Clinic Rochester
Answered on · Updated on
In patients with cardiac light chain (AL) amyloidosis who present with significant heart failure symptoms and inotrope dependence, the clinical benefit of treatment is a complex and nuanced issue. This scenario often reflects an extreme end of the disease spectrum. Historically, patients with advanc...
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