**Conflicts of interest**

The contents of this publication do not represent the views of the VA Caribbean Healthcare System, the Department of Veterans Affairs, or the United States Government. Dr. Sonia I. Vicenty is the Director of The Heart Failure Clinic and Associate Director of the Cardiovascular Disease Fellowship Program at the VA Caribbean HealthCare System, San Juan, PR. She is a sponsored speaker for Pfizer, and investigator for IONIS involved CARDIO-TTRansform trial. Dr. Ingrid Bonilla has no conflict of interest to disclose.
