PMID- 37129709 OWN - NLM STAT- MEDLINE DCOM- 20230523 LR - 20230523 IS - 1720-8319 (Electronic) IS - 1594-0667 (Linking) VI - 35 IP - 6 DP - 2023 Jun TI - Frailty and caregiver relationship quality in older patients diagnosed with transthyretin cardiac amyloidosis. PG - 1363-1367 LID - 10.1007/s40520-023-02419-6 [doi] AB - Aim of the study was to explore frailty and quality of the relationship with the caregiver in a cohort of older patients with transthyretin cardiac amyloidosis (ATTR-CA). Sixty-eight consecutive ATTR-CA patients were recruited and assessed for frailty, depressive symptoms, quality of the relationship in terms of social support, or conflict toward caregivers, New York Heart Association Class (NYHA), and National Amyloid Center score (NAC Score) for grading disease severity. Results showed that 10% of patients were frail. Depressive symptoms were present in 46% of patients. Regression analyses showed that both mFI and depression were associated with worse perception of social support, and that mFI and NAC score were associated with higher levels of conflict perceived in the caregivers' relationship. Overall, the mFI score was associated with worse perceived social support and caregiver relationship quality. Tertiary care heart failure clinics should actively support the patient-caregiver relationship to improve quality of life. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG. FAU - Fumagalli, Carlo AU - Fumagalli C AUID- ORCID: 0000-0001-7963-5049 AD - Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. AD - Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy. FAU - Smorti, Martina AU - Smorti M AUID- ORCID: 0000-0002-5867-9859 AD - Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy. FAU - Ponti, Lucia AU - Ponti L AUID- ORCID: 0000-0001-8255-5672 AD - Department of Humanities, University of Urbino, 61029, Urbino, Italy. lucia.ponti@uniurb.it. AD - Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy. lucia.ponti@uniurb.it. FAU - Pozza, Francesca AU - Pozza F AD - Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy. FAU - Argiro, Alessia AU - Argiro A AUID- ORCID: 0000-0002-6394-9948 AD - Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy. AD - Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy. FAU - Credi, Giacomo AU - Credi G AD - Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy. FAU - Di Mario, Carlo AU - Di Mario C AUID- ORCID: 0000-0002-4461-2055 AD - Division of Interventional Structural Cardiology, Cardiothoracovascular Department, Careggi University Hospital, Florence, Italy. FAU - Marfella, Raffaele AU - Marfella R AUID- ORCID: 0000-0003-3960-9270 AD - Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy. FAU - Marchionni, Niccolo AU - Marchionni N AUID- ORCID: 0000-0002-8101-4695 AD - Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy. FAU - Olivotto, Iacopo AU - Olivotto I AUID- ORCID: 0000-0003-1751-9266 AD - Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy. AD - Meyer Children Hospital, Florence, Italy. FAU - Perfetto, Federico AU - Perfetto F AUID- ORCID: 0000-0003-0276-8331 AD - Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy. AD - IV Internal Medicine Division, Careggi University Hospital, Florence, Italy. FAU - Ungar, Andrea AU - Ungar A AUID- ORCID: 0000-0002-8965-4523 AD - Geriatric Intensive Care Unit, University of Florence, Florence, Italy. FAU - Cappelli, Francesco AU - Cappelli F AUID- ORCID: 0000-0002-1622-0732 AD - Tuscan Regional Amyloidosis Centre, Careggi University Hospital, Florence, Italy. AD - Division of Interventional Structural Cardiology, Cardiothoracovascular Department, Careggi University Hospital, Florence, Italy. LA - eng PT - Journal Article DEP - 20230502 PL - Germany TA - Aging Clin Exp Res JT - Aging clinical and experimental research JID - 101132995 RN - 0 (Prealbumin) SB - IM MH - Humans MH - Aged MH - Caregivers MH - Prealbumin MH - Quality of Life MH - *Frailty/complications MH - *Amyloidosis/complications MH - *Cardiomyopathies/complications OTO - NOTNLM OT - ATTR-CA OT - Caregiver OT - Depression OT - Frailty OT - Quality of relationship EDAT- 2023/05/02 12:43 MHDA- 2023/05/23 06:42 CRDT- 2023/05/02 11:08 PHST- 2023/03/30 00:00 [received] PHST- 2023/04/18 00:00 [accepted] PHST- 2023/05/23 06:42 [medline] PHST- 2023/05/02 12:43 [pubmed] PHST- 2023/05/02 11:08 [entrez] AID - 10.1007/s40520-023-02419-6 [pii] AID - 10.1007/s40520-023-02419-6 [doi] PST - ppublish SO - Aging Clin Exp Res. 2023 Jun;35(6):1363-1367. doi: 10.1007/s40520-023-02419-6. Epub 2023 May 2.