Evidence map›Paper›PMID 34784656›Full record

ReviewESC heart failure2022

Thromboembolism and bleeding in systemic amyloidosis: a review.

Martin Nicol, Virginie Siguret, Giuseppe Vergaro, Alberto Aimo, Michele Emdin, Jean Guillaume Dillinger, Mathilde Baudet, Alain Cohen-Solal, Camille Villesuzanne, Stephanie Harel and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Clinical and Echocardiographic Features of Individuals With Cardiac Amyloidosis at Risk for Future Thrombus Formation.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2025
    Article
  14. Atrial Cardiomyopathy: From Diagnosis to Treatment.Reviews in cardiovascular medicine · 2025
    Review
  15. Article
  16. Article
  17. Challenges associated with managing treatment complications in an older patient with cardiac amyloidosis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  18. Review
  19. Clinical Outcomes of Percutaneous Coronary Intervention in Amyloidosis, Sarcoidosis, and Hemochromatosis.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 3 countries.

Martin NicolCardiology department, Lariboisière Hospital, APHP, 2 rue Ambroise Paré, Paris, France.
Virginie SiguretUniversité de Paris, Paris, France.
Giuseppe VergaroDivision of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Alberto AimoDivision of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Michele EmdinDivision of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Jean Guillaume DillingerCardiology department, Lariboisière Hospital, APHP, 2 rue Ambroise Paré, Paris, France.
Mathilde BaudetCardiology department, Lariboisière Hospital, APHP, 2 rue Ambroise Paré, Paris, France.
Alain Cohen-SolalCardiology department, Lariboisière Hospital, APHP, 2 rue Ambroise Paré, Paris, France.
Camille VillesuzanneImmuno-hematology Department, Saint Louis Hospital, APHP, Paris, France.
Stephanie HarelImmuno-hematology Department, Saint Louis Hospital, APHP, Paris, France.
Bruno RoyerImmuno-hematology Department, Saint Louis Hospital, APHP, Paris, France.
Bertrand ArnulfUniversité de Paris, Paris, France.
Damien LogeartCardiology department, Lariboisière Hospital, APHP, 2 rue Ambroise Paré, Paris, France.
Hôpital Lariboisière · FRFondazione Toscana Gabriele Monasterio · ITHôpital Saint-Louis · FRSaint Louis University Hospital · USAssistance Publique – Hôpitaux de Paris · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The assessment of both thromboembolic and haemorrhagic risks and their management in systemic amyloidosis have been poorly emphasized so far. This narrative review summarizes main evidence from literature with clinical perspective. The rate of thromboembolic events is as high as 5-10% amyloidosis patients, at least in patients with cardiac involvement, with deleterious impact on prognosis. The most known pro-thrombotic factors are heart failure, atrial fibrillation, and atrial myopathy. Atrial fibrillation could occur in 20% to 75% of systemic amyloidosis patients. Cardiac thrombi are frequently observed in patients, particularly in immunoglobulin light chains (AL) amyloidosis, up to 30%, and it is advised to look for them systematically before cardioversion. In AL amyloidosis, nephrotic syndrome and the use of immunomodulatory drugs also favour thrombosis. On the other hand, the bleeding risk increases because of frequent amyloid digestive involvement as well as factor X deficiency, renal failure, and increased risk of dysautonomia-related fall.

Indexed as

AmyloidosisHeart FailureImmunoglobulin Light-chain AmyloidosisThromboembolismAmyloidHumansAmyloidAmyloidosisAnticoagulative therapyBleedingThromboembolism

Identifiers

PMID34784656
PMCPMC8787981
OpenAlexW3214003304

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.