Tafamidis in the Treatment of Transthyretin Cardiac Amyloidosis: Experience in an Elderly Patient

Authors

  • Maria Ligros Torres Hospital Obispo Polanco https://orcid.org/0009-0001-4996-0024
  • Raquel Gracia Piquer Hospital Obispo Polanco, Servicio de Farmacia, Teruel https://orcid.org/0009-0008-2901-4234
  • Nuria Labrador Andujar Hospital Obispo Polanco, Servicio de Farmacia, Teruel
  • Alejandro Gonzalez Alvarez Hospital Obispo Polanco, Servicio de Farmacia, Teruel

DOI:

https://doi.org/10.60103/phc.v27.e906

Keywords:

Amyloidosis; TTR protein; heart failure; tafamidis

Abstract

Transthyretin cardiac amyloidosis (ATTR-CA) is a rare cardiomyopathy that presents in two forms: hereditary and no hereditary or wild-type (commonly seen in individuals over 70 years of age). This condition leads to progressive heart failure and arrhythmias. Diagnosis is based on a combination of echocardiography, cardiac magnetic resonance imaging, and scintigraphy, supported by genetic and immunofixation studies. We present the case of an 80-year-old man with a family history of heart disease who was diagnosed with ATTR-CA through these diagnostic methods. After initiating treatment with tafamidis (a TTR stabilizer), he showed significant improvement in cardiac function and quality of life. This case highlights the importance of early diagnosis and a multidisciplinary therapeutic approach to improve the prognosis of patients with ATTR-CA.

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References

Agencia Española de Medicamentos y Productos Sanitarios (AEMPS). Informe de Posicionamiento Terapéutico de tafamidis (Vyndaqel®) en el tratamiento de la amiloidosis cardiaca por transtiretina en pacientes adultos (ATTR-CM). Ministerio de Sanidad [Internet]. Febrero 2022 [citado 30 mayo 2025]. Disponible en: https://www.aemps.gob.es/informa/informes-de-posicionamiento-terapeutico/informe-de-posicionamiento-terapeutico-de-tafamidis-vyndaqel-en-el-tratamiento-de-la-amiloidosis-cardiaca-por-transtiretina-en-pacientes-adultos-attr-cm/

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Published

2025-11-19

How to Cite

Ligros Torres, M., Gracia Piquer, R., Labrador Andujar, N., & Gonzalez Alvarez, A. (2025). Tafamidis in the Treatment of Transthyretin Cardiac Amyloidosis: Experience in an Elderly Patient. Pharmaceutical Care España, 27. https://doi.org/10.60103/phc.v27.e906

Issue

Section

Casos clínicos