Evidence map›Paper›PMID 42110849›Full record

ArticleCirculation reports2026

Association Between Severe Aortic Stenosis and Amyloid Deposition in the Myocardium of Patients With Wild-Type Transthyretin Cardiac Amyloidosis.

Kentaro Furukawa, Hiroaki Kawano, Ryohei Akashi, Chisa Eguchi, Tomohiro Honda, Tadatomo Fukushima, Yusuke Takenaka, Masamichi Eguchi, Tsuyoshi Yoshimuta, Takashi Kudo and 4 more

Abstract read
In one paragraph

Article in Circulation reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Cardiac amyloidosis: what every interventional cardiologist should know.Cardiovascular intervention and therapeutics · 2026
    Review
  2. Review
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

14 authors.

Kentaro FurukawaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Hiroaki KawanoDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Ryohei AkashiDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Chisa EguchiDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Tomohiro HondaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Tadatomo FukushimaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Yusuke TakenakaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Masamichi EguchiDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Tsuyoshi YoshimutaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Takashi KudoDepartment of Radioisotope Medicine, Atomic Bomb Disease Institute, Nagasaki University Nagasaki Japan.
Masahiro NakashimaDepartment of Pathology, Nagasaki University Hospital Nagasaki Japan.
Mitsuharu UedaDepartment of Neurology, Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan.
Satoshi IkedaDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.
Koji MaemuraDepartment of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although wild-type transthyretin cardiac amyloidosis (ATTRwt-CA) is frequently observed in older patients with aortic stenosis (AS), its relationship with AS is unclear. Therefore, this exploratory study aimed to investigate the relationship between myocardial amyloid deposition and AS in patients with ATTRwt-CA. Methods and Results: This study included 39 patients (mean age 76 years) with biopsy-confirmed ATTRwt-CA. Myocardial amyloid deposition was quantitatively analyzed using histological evaluation of the biopsied myocardium and the heart-to-contralateral (H/CL) ratio was evaluated using bone scintigraphy. These parameters were then compared between 5 patients with severe AS and 34 patients without severe AS, and predictors of severe AS were evaluated. Myocardial amyloid deposition was greater in ATTRwt-CA patients with severe AS than in those without severe AS (mean [±SD] 32.6±12.7% vs. 19.9±11.7%; P=0.0311) but there was no difference in the H/CL ratio between the 2 groups. Multivariate analysis identified only greater myocardial amyloid deposition (per 10%) as an independent determinant of severe AS in patients with ATTRwt-CA (odds ratio 2.91; 95% confidence interval 1.23-8.67; P=0.0254). Conclusions: This exploratory study suggests that severe AS may be associated with myocardial amyloid deposition in patients with ATTRwt-CA, although larger prospective research is needed to validate our results.

Indexed as

Amyloid depositionAortic stenosisHeart-to-contralateral ratioWild-type transthyretin cardiac amyloidosis

Identifiers

PMID42110849
PMCPMC13153655

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