Echocardiographic Assessment of Patients with Fabry Disease

Darwin F Yeung1, Sandra Sirrs2, Michael Y C Tsang1

  • 1Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

Insights

Fabry disease, a lysosomal disorder, causes cardiac issues like thickened heart walls. Echocardiography can detect these abnormalities, aiding in earlier diagnosis and treatment of Fabry cardiomyopathy.

Area of Science:

  • Cardiology
  • Genetics
  • Biochemistry

Background:

  • Fabry disease is an X-linked lysosomal storage disorder.
  • It stems from a deficiency in the enzyme α-galactosidase A.
  • Cardiovascular manifestations, particularly increased left ventricular wall thickness, are common.

Purpose of the Study:

  • To provide a comprehensive overview of echocardiographic findings in Fabry disease.
  • To highlight structural and functional cardiac abnormalities.
  • To identify areas for future research in Fabry cardiomyopathy.

Main Methods:

  • Review of existing literature on echocardiography in Fabry disease.
  • Analysis of conventional and novel echocardiographic techniques.
  • Synthesis of reported structural and functional cardiac abnormalities.

Main Results:

  • Echocardiography is a key noninvasive tool for assessing cardiac involvement.
  • Various structural and functional abnormalities beyond left ventricular hypertrophy are observed.
  • Earlier and more precise characterization can improve patient outcomes.

Conclusions:

  • Echocardiography plays a crucial role in diagnosing and monitoring Fabry cardiomyopathy.
  • Further research using advanced echocardiographic techniques is warranted.
  • Improved characterization may lead to earlier diagnosis, prognostication, and treatment.

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