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Cardiac involvement in hereditary ataxias
1Division of Cardiovascular Medicine, Ohio State University, Columbus, OH 614293-8963, USA.
Insights
Hereditary ataxias can cause serious heart problems, leading to disability and death. This review covers hereditary ataxias with cardiac issues, their causes, and management strategies.
Area of Science:
- Neurology
- Cardiology
- Genetics
Background:
- Hereditary ataxias primarily affect the nervous system.
- Cardiac complications are often overlooked but significant in hereditary ataxias.
- These cardiac issues contribute to patient morbidity and mortality.
Purpose of the Study:
- To review hereditary ataxias associated with cardiac involvement.
- To discuss the etiological factors behind these cardiac complications.
- To outline current screening and treatment guidelines.
Main Methods:
- Literature review of hereditary ataxias with known cardiac manifestations.
- Analysis of underlying genetic and molecular mechanisms.
- Synthesis of existing clinical guidelines for cardiac care.
Main Results:
- Identified specific hereditary ataxias with documented cardiac complications.
- Detailed the spectrum of cardiac issues, including cardiomyopathies and arrhythmias.
- Summarized diagnostic approaches and therapeutic interventions.
Conclusions:
- Cardiac complications are a critical, yet often underappreciated, aspect of hereditary ataxias.
- Early screening and multidisciplinary management are essential for improving patient outcomes.
- Advancing research necessitates collaborative efforts, including clinical trials and team science.
Abstract:
Although much attention has been focused on the neurological sequelae of the hereditary ataxias, patients with these conditions also may develop cardiac complications that represent a significant cause of disability and even death. In this article, the authors describe the hereditary ataxias with known cardiac involvement, discuss underlying causes, and review guidelines for screening and treatment. Continued progress will require coordinated clinical trial networks, interdisciplinary care teams, and team science.
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