Cardiac challenges in patients with Fabry disease

F Weidemann1, A Linhart, L Monserrat

  • 1Department of Medicine I, Center of Cardiovascular Medicine, Würzburg, Germany. weidemann_f@medizin.uni-wuerzburg.de

Insights

Fabry disease, a genetic disorder causing heart problems, requires early diagnosis for effective enzyme replacement therapy (ERT). Identifying Fabry cardiomyopathy in at-risk patients can lead to timely intervention and improved outcomes.

Area of Science:

  • Cardiology
  • Genetics
  • Metabolic Disorders

Background:

  • Fabry disease is an X-linked lysosomal storage disorder.
  • It is a significant cause of hypertrophic cardiomyopathy (HCM), leading to heart failure and arrhythmias.
  • The complex pathophysiology of Fabry cardiomyopathy is not fully understood.

Purpose of the Study:

  • To emphasize the importance of early diagnosis for Fabry disease.
  • To highlight the role of enzyme replacement therapy (ERT) in managing Fabry cardiomyopathy.
  • To promote screening of at-risk cardiology patients for Fabry disease.

Main Methods:

  • Enzymatic assays for early detection of Fabry disease.
  • Genetic testing to confirm Fabry disease diagnosis.
  • Cardiac evaluation of patients with hypertrophic cardiomyopathy (HCM) of unknown origin.

Main Results:

  • Early diagnosis of Fabry disease allows for timely intervention with ERT.
  • Screening HCM patients may identify undiagnosed Fabry disease cases.
  • Identifying affected family members through genetic mapping is possible.

Conclusions:

  • Early diagnosis and intervention are crucial for managing Fabry disease and its cardiac manifestations.
  • ERT is most effective when initiated before significant cardiac hypertrophy or fibrosis develops.
  • Screening selected cardiology patients can improve outcomes for individuals with Fabry disease.

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