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Cardiac Alterations in Patients with Familial Lipodystrophy
Minna Moreira Dias Romano1, Paula Ananda Inês Chacon1, Fernanda Naira Zambelli Ramalho1
1Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto - Medicina Interna, Ribeirão Preto, SP - Brazil.
Insights
Familial lipodystrophy, a rare genetic disorder, is linked to a poorly understood cardiomyopathy. This review highlights clinical and imaging findings of this cardiac condition in patients with lipodystrophy.
Area of Science:
- Cardiology
- Genetics
- Metabolic Diseases
Background:
- Familial lipodystrophy is a rare genetic disorder characterized by metabolic changes and abnormal body fat distribution.
- A significant, yet understudied, complication is the development of cardiomyopathy.
- Hypertrophic cardiomyopathy is the most frequently reported cardiac manifestation in the literature.
Purpose of the Study:
- To review the clinical and cardiovascular imaging aspects of cardiomyopathy in familial lipodystrophy.
- To synthesize the latest scientific evidence on this rare metabolic disease-associated cardiomyopathy.
Main Methods:
- Bibliographic review of scientific literature.
- Focus on recent and advanced imaging techniques, particularly cardiac magnetic resonance.
Main Results:
- Frequent association between congenital lipodystrophy and ventricular hypertrophy is noted.
- Pathophysiological mechanisms underlying this cardiomyopathy remain largely unclear.
- Emerging data on cardiac morphology are being provided by advanced imaging methods.
Conclusions:
- Cardiomyopathy is a significant concern in familial lipodystrophy.
- Further research, especially utilizing advanced cardiac imaging, is needed to elucidate the pathophysiology and improve patient management.
Abstract:
Familial lipodystrophy is a rare genetic condition in which individuals have, besides metabolic changes and body fat deposits, a type of cardiomyopathy that has not been well studied. Many of the patients develop cardiovascular changes, the most commonly reported in the literature being the expression of a type of hypertrophic cardiomyopathy. This article, presented as a bibliographic review, reviews the clinical and cardiovascular imaging aspects in this scenario of cardiomyopathy in a rare metabolic disease, based on the latest scientific evidence published in the area. Despite the frequent association of congenital lipodystrophy and ventricular hypertrophy described in the literature, the pathophysiological mechanisms of this cardiomyopathy have not yet been definitively elucidated, and new information on cardiac morphological aspects is emerging in the aegis of recent and advanced imaging methods, such as cardiac magnetic resonance.
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