Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Weidemann, F; Breunig, F; Beer, M; Sandstede, J; Stork, S; Voelker, W; Ertl, G; Knoll, A; Wanner, C; Strotmann, JM.
The variation of morphological and functional cardiac manifestation in Fabry disease: potential implications for the time course of the disease
Eur Heart J. 2005; 26(12):1221-1227
Doi: 10.1093/eurheartj/ehi143
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- Abstract:
- Aims The aim of this clinical cross-sectional study was to investigate the cardiac inter-retation of morphological and functional abnormalities in patients with Fabry disease. Methods and results Fifty-one patients (5-78 years) were compared with 25 controls (8-77 years). In all subjects, end-diastotic thickness of the left ventricle was measured by echocardiography and ultrasonic peak systolic strain rate (SR) was extracted to assess regional myocardial function. Magnetic resonance imaging was performed to assess late-enhancement for the detection of myocardial fibrosis in Fabry patients (n = 39). In patients, women < 20 years of age had no hypertrophy, no late-enhancement, and normal radial and longitudinal function (SR longitudinal = - 1.7 +/- 0.5 s(-1); P = n.s. compared with controls). Ten women, > 20 years of age, had no hypertrophy, no late-enhancement, normal radial and longitudinal function in the septal. wall, but reduced longitudinal function in the lateral wall (SR = - 1.4 +/- 0.5 s(-1)). All mate patients without hypertrophy and no late-enhancement had normal radial function but reduced longitudinal function in both the septal. and lateral watts (SR = - 1.3 +/- 0.3 s(-1)). Patients with hypertrophy but without late-enhancement (n = 13) had reduced radial and longitudinal function. Twelve patients displaying hypertrophy and late - enhancement had severely reduced radial and longitudinal function (SR = - 1.1 +/- 0.5 s(-1)). Two of them with the worst impairment of regional function (SR = - 0.8 +/- 0.6 s(-1)) died in the follow-up period. Conclusion These results illustrate the variation of morphological changes and its functional consequences in Fabry cardiomyopathy.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Age Factors -
- Aged -
- Blood Flow Velocity -
- Cardiomyopathies - pathology Cardiomyopathies - physiopathology
- Child -
- Child, Preschool -
- Cross-Sectional Studies -
- Echocardiography, Doppler, Color - methods
- Fabry Disease - complications Fabry Disease - pathology Fabry Disease - physiopathology
- Female -
- Humans -
- Hypertrophy, Left Ventricular - pathology Hypertrophy, Left Ventricular - physiopathology
- Magnetic Resonance Angiography - methods
- Male -
- Middle Aged -
- Sex Factors -
- Ventricular Dysfunction, Left - etiology Ventricular Dysfunction, Left - pathology Ventricular Dysfunction, Left - physiopathology
- Find related publications in this database (Keywords)
- cardiomyopathy
- heart failure
- echocardiography