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Vutrisiran Treatment and Cardiovascular MRI-Detected Changes in Cardiac Structure, Function, and Amyloid Burden in ATTR-CM

MedXY Editorial Team•Aug 18, 2026•Cardiology
ATTR-CMcardiovascular MRI心脏淀粉样变性Vutrisiran

Highlights

  • Vutrisiran therapy leads to significant improvements in biventricular systolic function and reductions in left ventricular mass in patients with transthyretin amyloid cardiomyopathy (ATTR-CM).
  • Cardiovascular magnetic resonance (CMR) imaging with extracellular volume (ECV) mapping enables sensitive, noninvasive tracking of cardiac amyloid burden and treatment-related regression.
  • Post hoc analysis of the UK HELIOS-B cohort demonstrates that vutrisiran associates with amyloid regression in a subset of patients and markedly reduces amyloid progression compared to placebo over three years.
  • Echocardiographic secondary outcomes corroborate structural and functional cardiac benefits, underscoring vutrisiran’s impact on clinical outcomes.

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Consistent Efficacy of Vutrisiran in Transthyretin Cardiac Amyloidosis Amidst Concomitant Disease-Modifying TherapiesThe HELIOS-B trial demonstrates that vutrisiran significantly reduces mortality and cardiovascular events in ATTR-CM patients, with its efficacy unaffected by concurrent use of tafamidis or heart failure medications, supporting its broad thSep 3, 2026Vutrisiran and Tafamidis in Transthyretin Amyloidosis Cardiomyopathy: Evaluating Combination Therapy Insights from HELIOS-BThe HELIOS-B trial showed vutrisiran improves survival and cardiac outcomes in transthyretin amyloidosis with cardiomyopathy, with consistent benefits regardless of baseline tafamidis use, supporting further evaluation of combination therapSep 1, 2026Right Ventricular Function, Clinical Outcomes, and Effect of Vutrisiran in Transthyretin Amyloidosis With Cardiomyopathy: Insights from the HELIOS-B TrialThis review synthesizes evidence on the prevalence and prognostic value of right ventricular dysfunction in ATTR-CM and the therapeutic impact of vutrisiran on RV function from the HELIOS-B trial, underscoring RV free wall strain as a key bAug 28, 2026
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Left Atrial Dysfunction and Vutrisiran Efficacy in Transthyretin Amyloid Cardiomyopathy: Insights from the HELIOS-B TrialThis article reviews the prognostic role of left atrial dysfunction in transthyretin amyloid cardiomyopathy and evaluates vutrisiran’s impact on atrial function and clinical outcomes based on a secondary analysis of the HELIOS-B phase 3 triAug 21, 2026
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