Cardiac Amyloidosis Clinic
Health professional information
Clinical service overview
We offer a multidisciplinary approach that includes specialised cardiologists, haematologists, geneticists, nurses and pharmacists. Our expert heart team manages all subtypes of cardiac amyloidosis including:
- ATTRwt (wild-type transthyretin)
- ATTRV (hereditary amyloidosis)
- AL amyloidosis (associated with multiple myeloma)
- AA amyloidosis (associated with rheumatoid arthritis)
Our comprehensive management strategies arranged include in-house include:
- Endomyocardial biopsy (immunohistochemistry and mass spectrometry)
- Advanced cardiac imaging (cardiac MRI and echocardiography)
- Nuclear medicine scintigraphy scans (bone scans)
- Genetic testing (bulk-billed with genetic counselling)
- Disease modifying pharmacotherapy
- Cardiac transplantation
- Access to clinical trials with active research collaborations with the Australian Amyloidosis Network, Monash University and the Baker Heart and Diabetes Institute
Cardiac Amyloidosis is a complex diagnosis which may be mimicked by a number of rare conditions. A secondary purpose of our clinic is to investigate complex patients with undifferentiated left ventricular hypertrophy (LVH) and to on-refer them to our in-house expert colleagues who manage other conditions such as hypertrophy cardiomyopathy, cardiac sarcoidosis, hypertensive heart disease, athlete’s heart and Fabry’s disease.
Our goal at Alfred Cardiology is to facilitate the best standard of care for patients with Cardiac Amyloidosis. We aim to collaborate with referring practitioners in a shared-care model and encourage referrals and consultations.
Refer your patient
Fax referral to us
We accept GP and specialist referrals to this service.
All referrals are triaged by the service according to clinical urgency. Patients requiring immediate assessment should be sent to the Emergency & Trauma Centre.
To refer your patient, complete and fax a referral to us. For urgent referrals, also contact the service Registrar to discuss the case.
To ensure appropriate and timely triage, include all demographic and clinical details as well as relevant investigation results.
If you are concerned about any delay of the appointment or if there is any deterioration in your patient’s condition, contact the service Registrar on call on (03) 9076 2000.
(03) 9076 2025
(03) 9076 6938
Special referral instructions
What to Include with Your Referral (if performed)
Any previous investigations including (but not limited to):
- Serum and urine protein electrophoresis (with immunofixation)
- Serum free light chains
- Standard blood tests including troponin and NT-pro BNP
- Cardiac investigations such as ECG and transthoracic echocardiography
- Nuclear medicine bone scan
- Cardiac MRI
Clinic times
| Day | Campus | Time |
|---|---|---|
| Tuesday | The Alfred | Afternoon |
| Wednesday | The Alfred | Morning |
Clinic consultants
- A/Prof James Hare: Cardiology
- Dr Sarah Gutman: Cardiology
- Dr Yusuke Sata: Cardiology
MBS-billed service
On the doctor’s behalf, Alfred Health can bulk bill the cost of the consultation for some services through Medicare. This means there is no out of pocket expense to the patient.
MBS-billed services require a current referral. Provide your patient with a 12 month referral to see the specialist of your choice at the requested clinic.
Referrals must be addressed to a named specialist or the Head of service, listed at the top of this page. Clinic consultants are listed on every clinic page.
Note that from time to time, your patient may be seen by another specialist in the clinic, in order to expedite their treatment.
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