TABLE 1.

Cardiac Amyloidosis Subtypes and Clinical Characteristics

SubtypeCauseProteinAge range (y)Sex frequencyFrequency of cardiac involvementOther organ involvement or conditionsAssociated conditions
ALPlasma cell dyscrasiaImmunoglobulin light chain40–80Men = women70%Heart, kidney, gastrointestinal, tongue, nerves, liver, soft tissueMultiple myeloma
Wild-type ATTRAgingTransthyretin>70Men > women100%Heart, peripheral nervesBilateral carpal tunnel syndrome, lumbar spinal stenosis, atrial fibrillation, biceps tendon rupture
Variant ATTRInherited genetic mutationTransthyretin55–75Men > women30%–100% (depending on mutation)Heart, nervesBilateral carpal tunnel syndrome, polyneuropathy