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Published on: November 27, 2013
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.
Abstract:
Fabry disease is an X-linked lysosomal storage disorder that results from a deficiency of α-galactosidase A. Increased left ventricular wall thickness has been the most commonly described cardiovascular manifestation of the disease. However, a variety of other structural and functional abnormalities have also been reported. Echocardiography is an effective noninvasive method of assessing the cardiac involvement of Fabry disease. A more precise and comprehensive characterization of Fabry cardiomyopathy using conventional and novel echocardiographic techniques may lead to earlier diagnosis, more accurate prognostication, and timely treatment. The aim of this review is to provide a comprehensive overview of the structural and functional abnormalities on echocardiography that have thus far been described in patients with Fabry disease and to highlight potential areas that would benefit from further research.
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