British Society of Echocardiography guideline for the transthoracic echocardiographic assessment of cardiac amyloidosis

William E. Moody, Lauren Turvey-Haigh, Daniel Knight, Caroline J. Coats, Robert M. Cooper, Rebecca Schofield, Shaun Robinson, Allan Harkness, David L. Oxborough, Julian D. Gillmore, Carol Whelan, Daniel X. Augustine, Marianna Fontana, Richard P. Steeds

Research output: Contribution to journalArticlepeer-review

4 Citations (SciVal)


These guidelines form an update of the BSE guideline protocol for the assessment of restrictive cardiomyopathy (Knight et al. in Echo Res Prac, 2013). Since the original recommendations were conceived in 2013, there has been an exponential rise in the diagnosis of cardiac amyloidosis fuelled by increased clinician awareness, improvements in cardiovascular imaging as well as the availability of new and effective disease modifying therapies. The initial diagnosis of cardiac amyloidosis can be challenging and is often not clear-cut on the basis of echocardiography, which for most patients presenting with heart failure symptoms remains the first-line imaging test. The role of a specialist echocardiographer will be to raise the suspicion of cardiac amyloidosis when appropriate, but the formal diagnosis of amyloid sub-type invariably requires further downstream testing. This document seeks to provide a focused review of the literature on echocardiography in cardiac amyloidosis highlighting its important role in the diagnosis, prognosis and screening of at risk individuals, before concluding with a suggested minimum data set, for use as an aide memoire when reporting.

Original languageEnglish
Article number13
JournalEcho Research and Practice
Issue number1
Publication statusPublished - 31 Aug 2023
Externally publishedYes


  • Cardiac amyloidosis
  • Echocardiography
  • Light chain amyloid cardiomyopathy
  • Transthyretin amyloid cardiomyopathy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Advanced and Specialised Nursing


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