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Author Spotlight: Advancements in Intracardiac Echocardiography for Atrial Anatomy Assessment
Published on: June 30, 2023
Cardiac involvement in Anderson-Fabry disease. The role of advanced echocardiography
Letizia Spinelli1, Antonio Bianco2, Eleonora Riccio3
1Interdepartmental Research Center for Hypertension and Related Conditions, University of Naples, Naples, Italy.
Insights
Anderson-Fabry disease (AFD) is a genetic disorder affecting the heart. Advanced echocardiography offers valuable insights into cardiac function and management for AFD patients.
Area of Science:
- Cardiology
- Genetics
- Medical Imaging
Background:
- Anderson-Fabry disease (AFD) is a rare lysosomal storage disorder caused by alpha-galactosidase A deficiency due to a mutation in the alpha-galactosidase gene.
- Cardiovascular complications are the primary cause of mortality in AFD patients, necessitating effective diagnostic tools.
Purpose of the Study:
- To review the role and future potential of advanced ultrasound imaging techniques in evaluating cardiac involvement in AFD.
- To highlight the significance of echocardiography in diagnosing AFD cardiomyopathy and assessing myocardial function.
Main Methods:
- Review of current literature on echocardiography and advanced ultrasound imaging in Anderson-Fabry disease.
- Focus on techniques assessing myocardial deformation (strain imaging) for functional evaluation.
Main Results:
- Echocardiography is the primary imaging method for detecting characteristic AFD cardiomyopathy features.
- Advanced echocardiography, particularly strain imaging, provides crucial information on cardiac functional status in AFD.
Conclusions:
- Advanced ultrasound imaging, including strain echocardiography, is essential for comprehensive cardiac assessment in AFD.
- These techniques offer valuable insights for patient management and monitoring of cardiovascular involvement in AFD.
Abstract:
Anderson-Fabry disease (AFD) is a lysosomal storage disorder, depending on defects in alpha galactosidase A activity, due to a mutation in the galactosidase alpha gene. Cardiovascular involvement represents the leading cause of death in AFD. Cardiac imaging plays a key role in the evaluation and management of AFD patients. Echocardiography is the first-line imaging modality for the identification of the typical features of AFD cardiomyopathy. Advanced echocardiography that allows assessment of myocardial deformation has provided insights into the cardiac functional status of AFD patients. The present review highlights the value and the perspectives of advanced ultrasound imaging in AFD.
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