Cardiac abnormalities in McLeod syndrome
Insights
X-linked McLeod neuroacanthocytosis syndrome can cause cardiac issues, including cardiomyopathy and sudden cardiac death, even without typical risk factors. This highlights the need for cardiac monitoring in affected individuals.
Area of Science:
- Cardiology
- Neurology
- Genetics
Background:
- X-linked McLeod neuroacanthocytosis syndrome is a rare multi-system disorder.
- Cardiac manifestations occur in approximately half of affected patients.
Observation:
- Seven patients with X-linked McLeod neuroacanthocytosis syndrome were studied.
- One patient exhibited cardiomyopathy with reduced ejection fraction.
- This patient experienced sudden cardiac death despite no cardiovascular risk factors.
Findings:
- Autopsy revealed eccentric hypertrophy and left ventricular dilatation.
- Histopathology showed focal myocyte hypertrophy and interstitial fibrosis.
- Cardiac features in McLeod neuroacanthocytosis syndrome warrant further investigation.
Implications:
- This study underscores the importance of cardiac surveillance in X-linked McLeod neuroacanthocytosis syndrome.
- Understanding cardiac involvement can improve patient management and prognosis.
- Further research is needed to elucidate the mechanisms of cardiac pathology in this syndrome.
Abstract:
We report the cardiac features of seven patients with X-linked McLeod neuroacanthocytosis syndrome, a multi-system disorder resembling Huntington's disease and cardiac manifestations in about half of the patients reported to date. One patient presented with a cardiomyopathy (normal size of the left ventricle with concentric remodeling and mildly impaired ejection fraction, 43%). This patient died from sudden cardiac death in the absence of any cardiovascular risk factors. Autopsy demonstrated eccentric hypertrophy and mild left ventricular dilatation. Histopathology was not specific and revealed focal myocyte hypertrophy, slight variation of myofiber size and patchy interstitial fibrosis.
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