Conclusion
Cardiac amyloidosis, previously considered a rare condition, is becoming an increasingly important cause of heart failure. Progressive imaging techniques have markedly increased detection rates. The ATTR type in particular is likely underdiagnosed in elderly and Afro-Caribbean populations. Treatment options have been limited until recently but several therapeutic strategies are currently undergoing phase III clinical trial assessment. Many more patients with cardiac amyloidosis will be identified with increased awareness and should be referred to specialist centres for further characterisation, implementation of an appropriate management plan and allowed access to novel drugs.