Efficacy of Computed Tomography-Based Evaluation of Myocardial Extracellular Volume Combined With Red Flags for Early Screening of Concealed Cardiac Amyloidosis in Patients With Atrial Fibrillation.

BACKGROUND: The prevalence of transthyretin amyloid cardiomyopathy (ATTR-CM) in atrial fibrillation (AF) patients remains unclear. We explored the efficacy of computed tomography-based myocardial extracellular volume (CT-ECV) combined with red flags for the early screening of concealed ATTR-CM in AF patients undergoing catheter ablation.Methods and Results: Patients referred for AF ablation at Oita University Hospital were prescreened using the red-flag signs defined by echocardiographic or electrocardiographic findings, medical history, symptoms, and blood biochemical findings. Myocardial CT-ECV was quantified in red flag-positive patients using routine pre-AF ablation planning cardiac CT with the addition of delayed-phase cardiac CT scans. Patients with high (>35%) ECV were evaluated using technetium pyrophosphate (99 mTc-PYP) scintigraphy. A cardiac biopsy was performed during the planned AF ablation procedure if 99 mTc-PYP scintigraphy was positive. Between June 2022 and June 2023, 342 patients were referred for AF ablation. Sixty-seven (19.6%) patients had at least one of the red-flag signs. Myocardial CT-ECV was evaluated in 57 patients because of contraindications to contrast media, revealing that 16 patients had high CT-ECV. Of these, 6 patients showed a positive 99 mTc-PYP study, and 6 patients were subsequently diagnosed with wild-type ATTR-CM via cardiac biopsy and genetic testing. CONCLUSIONS: CT-ECV combined with red flags could contribute to the systematic early screening of concealed ATTR-CM in AF patients undergoing catheter ablation.

Significant change of spin transport property in Cu/Nb bilayer due to superconducting transition.

The combination between the spin-dependent and super-conducting (SC) transports is expected to provide intriguing properties such as crossed Andreev reflection and spin-triplet superconductivity. This may be able to open a new avenue in the field of spintronics, namely superconducting spintronics because a superconductor itself has great potential for future nanoelectronic applications. To observe such SC spin transports, the suppression of the extrinsic effects originating from the heating and Oersted field due to the electric current is a crucial role. Pure spin current without accompanying the charge current is known as a powerful mean for preventing such extrinsic effects. However, non-negligible heat flow is found to exist even in a conventional pure spin current device based on laterally-configured spin valve because of the heating around the spin injector. Here, we develop a nanopillar-based lateral spin valve, which significantly reduces the heat generation, on a superconducting Nb film. By using this ideal platform, we found that the spin absorption is strongly suppressed by the SC transition of Nb. This demonstration is the clear evidence that the super-conducting Nb is an insulator for the pure spin current.