Supportive Care for Amyloidosis

Abstract

Supportive measures for the care of amyloid patients are reviewed here. Cardiac issues include medical management of congestive heart failure and arrhythmias including the use of defibrillators and the use of pleural catheters for diuretic-refractory effusions. The indications for solid organ transplant are reviewed including heart transplant for AL and non-AL amyloid, liver transplant for ATTR and non-ATTR familial amyloid, and kidney transplant for AL, AA, and AFib. Medical management of renal issues including agents to reduce proteinuria and the use of eprodisate to slow progression of AA amyloid is discussed.