What GDMT do you recommend for patients with AL amyloidosis and systolic heart failure?

You are correct that cardiac amyloidosis pts do not tolerate most of the GDMT. SGLT2i may be helpful for both diuresis as well as HFpEF, and we do try to start this. Generally they do not tolerate ARB/ACEI or even beta blockers. We find that torsemide seems to have better GI absorption and thus effi...