Delayed diagnosis of Fabry disease presenting as myocardial ischaemia
Marcello Marcì1, Giovanni Duro, Antonino Tuttolomondo
1Department of Cardiology, Azienda Ospedali Riuniti Villa Sofia & Cervello, Palermo, Italy. marcellomarci@katamail.com
Insights
Anderson-Fabry disease causes cardiac issues from globotriaosylceramide buildup. Early cardiac symptoms may indicate Fabry disease, even years after onset.
Area of Science:
- Cardiology
- Genetics
- Metabolic Disorders
Background:
- Anderson-Fabry disease is a rare genetic disorder.
- It results from globotriaosylceramide accumulation in cells.
- Cardiac involvement is a hallmark of the disease.
Observation:
- Cardiovascular complications are nearly universal in Fabry disease patients.
- Manifestations include left ventricular hypertrophy, mitral regurgitation, conduction issues, and ischemia.
- A case is presented where Fabry disease was diagnosed years after initial cardiac symptoms.
Findings:
- Globotriaosylceramide accumulation directly leads to cardiac dysfunction.
- Early cardiac symptoms can be indicative of underlying Fabry disease.
- Delayed diagnosis is possible despite significant cardiac manifestations.
Implications:
- Highlights the importance of considering Fabry disease in patients with unexplained cardiac symptoms.
- Suggests potential for earlier diagnosis and intervention.
- Emphasizes the link between genetic disorders and cardiovascular health.
Abstract:
Cardiovascular complications due to the accumulation of globotriaosylceramide in cardiac cells occur in almost all patients affected by Anderson-Fabry disease. Cardiac manifestations include left ventricular hypertrophy, mitral regurgitation, conduction disturbances and myocardial ischaemia. We report a case of Fabry's disease diagnosed several years after the onset of early cardiac symptoms.
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