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Amyloid and Strain and SR

·(1) can differentiate the patient with normal and amyloid cardiomyopathy. However (1) cannnot differentiate the patient with normal heart and biopsy proven amyloid not necessary in heart.
·(2) and (3) can differentiate the patient with normal heart and biopsy proven amyloid.
·(2) also has a prognostic value.
·There is heterogeniety of (2) in patients with amyloidsis and (2) of (4) is tend to be preserved.

User Rajnikant
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Final answer:

Amyloid cardiomyopathy and many neurodegenerative diseases like Alzheimer's are characterized by the accumulation of misfolded proteins forming amyloid plaques. These accumulations disrupt normal organ function, and recognizing their presence can aid in diagnosis and suggest new therapeutic interventions. Imaging and biomarkers can differentiate amyloidosis in patients, with some having prognostic significance.

Step-by-step explanation:

Amyloid cardiomyopathy is characterized by the pathological deposit of amyloid plaques in heart tissue. Amyloid plaques are composed of misfolded proteins such as amyloid beta (Aβ) peptide, which originates from enzymatic cleavage of amyloid precursor protein (APP). In the context of neurodegenerative diseases like Alzheimer's, these peptides aggregate into plaques found in the brain. These plaque formations are associated with the transition of Aβ's structure from α-helices to β-pleated sheets, which leads to aggregation.

Proteopathy is a term that encompasses diseases characterized by the accumulation of misfolded proteins that become toxic, which includes not only Alzheimer's but also Creutzfeldt-Jakob disease, cystic fibrosis, and type 2 diabetes. The gold standard for diagnosing transmissible spongiform encephalopathies (TSE), a group of prion diseases that can involve amyloid plaques similar to Alzheimer's, is to examine brain biopsies for amyloid plaques. Recognizing the relationship between these diseases is vital for developing new treatments that interfere with protein accumulation.

In terms of clinical significance, certain imaging techniques and biomarkers can differentiate between amyloid cardiomyopathy and normal heart conditions, some of which also have prognostic value. The heterogeneity in the presentation of amyloidosis adds complexity to diagnosis and treatment. However, certain cardiac features, such as strain patterns, might be preserved in cases of amyloidosis affecting the heart.

User Xypron
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