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ECG parameters to detect cardiac involvement in Fabry disease
Yu Wang1, Jie Kong1, Jun Wang2
1Division of Cardiology, Department of Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China.
Electrocardiogram (ECG) parameters like QRS width and Tp-e/QT can assess cardiac involvement in Fabry disease. These ECG changes correlate with disease severity, aiding in treatment timing and monitoring.
Area of Science:
- Cardiology
- Genetics
- Biochemistry
Background:
- Fabry disease involves globotriaosylceramide accumulation, leading to cardiac dysfunction and mortality.
- Cardiac involvement is a major complication, impacting patient prognosis.
Purpose of the Study:
- Investigate electrocardiographic (ECG) changes in various Fabry disease stages.
- Evaluate ECG parameters for assessing cardiac involvement severity.
Main Methods:
- Recruited 62 Fabry disease patients and 45 healthy controls.
- Performed ECG, echocardiography, and cardiac magnetic resonance (CMR) assessments.
- Classified patients into four groups based on cardiac involvement severity.
Main Results:
- Tp-e/QT ratio decreased, and Sokolow-Lyon index increased with disease progression.
- QRS width and Tp-e/QT showed significant association with cardiac involvement severity.
Conclusions:
- QRS width and Tp-e/QT are valuable biomarkers for Fabry disease cardiac involvement.
- These ECG parameters can guide intervention timing and assess treatment response.
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