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Table 4 Diagnostic testing during the 5 years prior to ATTRv amyloidosis diagnosis

From: The patient journey toward a diagnosis of hereditary transthyretin (ATTRv) amyloidosis

 

Newly diagnosed ATTRv Amyloidosis Patients N = 141

Matched controlsa N = 423

p value

Newly diagnosed ATTRv Amyloidosis Patients N = 141

Matched controlsa N = 423

p value

Newly diagnosed ATTRv Amyloidosis Patients N = 141

Matched controlsa N = 423

p value

Pyrophosphate imaging (PYP)

Cardiac magnetic resonance imaging (MRI)

Echocardiogram

N (%)

3 (2.1)

0 (0.0)

0.003

10 (7.1)

1 (0.2)

< 0.001

80 (56.7)

114 (27.0)

< 0.001

First evidence occurred

138 (97.9)

423 (100.0)

0.003

131 (92.9)

422 (99.8)

< 0.001

61 (43.3)

309 (73.0)

< 0.001

No evidence

 Pre Y1

3 (2.1)

0 (0)

 

6 (4.3)

1 (0.2)

 

12 (8.5)

19 (4.5)

 

 Pre Y2

0 (0)

0 (0)

 

1 (0.7)

0 (0)

 

11 (7.8)

14 (3.3)

 

 Pre Y3

0 (0)

0 (0)

 

1 (0.7)

0 (0)

 

11 (7.8)

19 (4.5)

 

 Pre Y4

0 (0)

0 (0)

 

2 (1.4)

0 (0)

 

19 (13.5)

21 (5.0)

 

 Pre Y5

0 (0)

0 (0)

 

0 (0)

0 (0)

 

27 (19.1)

41 (9.7)

 
 

Blood/urine testing

p value

Tissue biopsy or genetic testingb

p value

   

N (%)

49 (34.8)

40 (9.5)

< 0.001

49 (34.8)

88 (20.8)

< 0.001

   

First evidence occurred

  

< 0.001

  

0.003

   

No evidence

92 (65.2)

383 (90.5)

 

92 (65.2)

335 (79.2)

    

 Pre Y1

14 (9.9)

13 (3.1)

 

11 (7.8)

14 (3.3)

    

 Pre Y2

7 (5.0)

6 (1.4)

 

7 (5.0)

12 (2.8)

    

 Pre Y3

10 (7.1)

7 (1.7)

 

13 (9.2)

14 (3.3)

    

 Pre Y4

10 (7.1)

7 (1.7)

 

10 (7.1)

21 (5.0)

    

 Pre Y5

8 (5.7)

7 (1.7)

 

8 (5.7)

27 (6.4)

    
  1. ATTRv Hereditary transthyretin
  2. aMatched with age, gender, and region
  3. bTissue biopsy tests limited to peripheral, cardiac, salivary, rectal, fat pad areas of the body and nerves, and genetic tests include those used to analyze nucleic acid for abnormalities that may be indicative of a variety of disorders