A Multidisciplinary Team Can Help Impact Suspicion,
Diagnosis, and Management of Patients Affected by ATTR-CM
Specialty Pharmacist
- Assist patient in access to medication and
financial support options - Educate patient on the disease, therapy, and
monitor for adherence and outcomes
Primary Care Physician
- Understand the clinical presentation and signs
and symptoms of ATTR-CM - Refer to cardiologist for further evaluation
Orthopedist
- Understand the orthopedic clinical clues among
patients with ATTR-CM (e.g., Carpal tunnel
syndrome, hip/knee arthroplasty, biceps tendon
rupture, Lumbar spinal stenosis)
Nuclear Cardiology/Radiology
- Understand proper 99mTc-pyrophosphate (PYP)
cardiac imaging Procedures - Standardize testing protocols, reporting, and
image interpretation
Neurologist
- Understand the non-cardiac neurologic clinical
clues among patients with ATTR-CM (e.g.,
Autonomic neuropathy, peripheral neuropathy,
peripheral sensory motor dysfunction, and
orthostatic hypotension)
Advanced HF Nurses
- Understand and identify ATTR-CM red flags in
patients and navigate pursuit lists - Serve as patient champions, liaising between
the HF doctor, the patient, and improving access
to care
Gastroenterologist
- Understand clinical presentation of common
gastrointestinal symptoms of ATTR-CM
Geneticist/Genetic Counselor
- Provide counseling to patients and families
- Understand genetic testing and screening
Hematologist/Oncologist
- Partner closely with cardiology to perform
differential diagnosis between ATTR-CM and AL
amyloidosis - Ensure proper tests are ordered and AL rule out
is done correctly - Evaluate patients with abnormal monoclonal
protein for possibility of AL or ATTR-CM
Nephrologist
- Understand the renal clinical clues among
patients with ATTR-CM (e.g., Proteinuria, renal
impairment, cardiorenal syndrome)
Cardiologist/Amyloid
Specialist ATTR-CM Clinical
Champion
Specialist ATTR-CM Clinical
Champion
