Scanning particularly in the us can facilitate an early diagnosis of cardiac Semenoll

  amyloidosis obviously and Ammar cardio biopsy the gold standard is as we mentioned limited to really specialized centers that are able to perform this that's typically a cardiac transplant programs whereas a pyrophosphate scanning can be available in almost every cardiology practice who has a nuclear camera which by ACC estimates are almost  practices in the US so much wider application for earlier diagnosis.

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