Suppr超能文献

患有各种溶酶体贮积症的儿童和青年的心脏疾病:各临床组之间超声心动图和心电图变化的比较。

Cardiac disease in children and young adults with various lysosomal storage diseases: Comparison of echocardiographic and ECG changes among clinical groups.

作者信息

Mueller P, Attenhofer Jost C H, Rohrbach M, Valsangiacomo Buechel E R, Seifert B, Balmer C, Kretschmar O, Baumgartner M R, Weber R

机构信息

Department of Cardiology, University Children's Hospital, Switzerland.

Cardiovascular Clinic Zürich, Klinik Im Park, Switzerland.

出版信息

Int J Cardiol Heart Vessel. 2013 Nov 13;2:1-7. doi: 10.1016/j.ijchv.2013.10.002. eCollection 2013 Mar.

Abstract

BACKGROUND

Lysosomal storage disease (LSD) is a rare inherited disease group. Consecutively there are few data on cardiac changes in mucopolysaccharidosis (MPS), Anderson Fabry disease (AFD), and other LSD (oLSD) including Pompe disease (PD) and Danon disease (DD), I-cell disease ICD and mucolipidosis III (ML III).

METHODS

Between 1994 and 2011, we identified 39 patients with LSD: 25 with MPS, 8 with AFD, and 6 with oLSD including PD (1), ML III (2), DD (1), and ICD (2) at our institution fulfilling the inclusion criteria of at least one echocardiogram and ECG.

RESULTS

Median age was 11.4 years (range: 2-27), 22 were females (56%). Normal echocardiograms were present in 12 patients (31%): 4 with MPS (16%), 7 AFD (88%), and 1 oLSD (17%). Valvular heart disease was present in 23 patients (59%) occurring more often in MPS (76%) and oLSD (67%) than in AFD (0%) (p < 0.001). The most common ECG abnormality was a short PR interval in 10 of 35 patients (29%) occurring in all LSD groups. Median follow-up was 5.8 (0.2-22.2) years showing diminished 5-year survival compared to an age-matched group. However, no patient died due to a cardiac cause and no cardiovascular intervention was necessary.

CONCLUSION

Echocardiographically detectable cardiovascular involvement in children with LSD is mostly confined to MPS and oLSD. Valve thickening in echo and a short PR interval in the ECG are the most frequent abnormalities. Routine repeat assessment is recommended in LSD. However, significant cardiac disease necessitating cardiac intervention is rare during a short follow-up.

摘要

背景

溶酶体贮积症(LSD)是一组罕见的遗传性疾病。关于黏多糖贮积症(MPS)、安德森法布里病(AFD)以及包括庞贝病(PD)、达农病(DD)、I型细胞病(ICD)和黏脂贮积症III型(ML III)在内的其他溶酶体贮积症(oLSD)中心脏变化的数据相继较少。

方法

1994年至2011年期间,我们在本机构确定了39例溶酶体贮积症患者:25例黏多糖贮积症患者、8例安德森法布里病患者以及6例其他溶酶体贮积症患者,包括1例庞贝病、2例黏脂贮积症III型、1例达农病和2例I型细胞病,这些患者符合至少有一次超声心动图和心电图检查的纳入标准...

结果

中位年龄为11.4岁(范围:2至27岁),22例为女性(56%)。12例患者(31%)超声心动图正常:4例黏多糖贮积症患者(16%)、7例安德森法布里病患者(88%)和1例其他溶酶体贮积症患者(17%)。23例患者(59%)存在瓣膜性心脏病,在黏多糖贮积症(76%)和其他溶酶体贮积症(67%)中比在安德森法布里病(0%)中更常见(p<0.001)。35例患者中有10例(29%)最常见的心电图异常是PR间期缩短,在所有溶酶体贮积症组中均有发生。中位随访时间为5.8(0.2至22.2)年,与年龄匹配组相比,5年生存率降低。然而,没有患者因心脏原因死亡,也无需进行心血管干预。

结论

超声心动图可检测到的溶酶体贮积症患儿心血管受累主要局限于黏多糖贮积症和其他溶酶体贮积症。超声心动图显示的瓣膜增厚和心电图中的PR间期缩短是最常见的异常。建议对溶酶体贮积症患者进行常规重复评估。然而,在短期随访期间,需要心脏干预的严重心脏疾病很少见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4be4/5801096/8d2b941564f8/gr1ab.jpg

相似文献

2
Natural history of echocardiographic abnormalities in mucopolysaccharidosis III.
Mol Genet Metab. 2018 Jun;124(2):131-134. doi: 10.1016/j.ymgme.2018.04.010. Epub 2018 Apr 27.
3
Aortopathies in mouse models of Pompe, Fabry and Mucopolysaccharidosis IIIB lysosomal storage diseases.
PLoS One. 2020 May 19;15(5):e0233050. doi: 10.1371/journal.pone.0233050. eCollection 2020.
4
Cardiac manifestations of Anderson-Fabry disease in heterozygous females.
J Am Coll Cardiol. 2002 Nov 6;40(9):1668-74. doi: 10.1016/s0735-1097(02)02380-x.
6
Newborn screening for lysosomal storage disorders.
Mol Genet Metab. 2006 Aug;88(4):307-14. doi: 10.1016/j.ymgme.2006.02.013. Epub 2006 Apr 4.
7
Anderson-Fabry disease presenting with atrial fibrillation as earlier sign in a young patient: A case report.
World J Clin Cases. 2021 Jun 26;9(18):4823-4828. doi: 10.12998/wjcc.v9.i18.4823.
8
Cardiac involvement in Lysosomal Storage Diseases.
J Biol Regul Homeost Agents. 2020 Jul-Aug;34(4 Suppl. 2):107-119. SPECIAL ISSUE: FOCUS ON PEDIATRIC CARDIOLOGY.
9
Clinical characterization of cardiovascular abnormalities associated with feline mucopolysaccharidosis I and VI.
J Inherit Metab Dis. 2008 Jun;31(3):424-31. doi: 10.1007/s10545-008-0821-1. Epub 2008 May 23.
10
Arrhythmia and Clinical Cardiac Findings in Children With Anderson-Fabry Disease.
Am J Cardiol. 2017 Jul 15;120(2):251-255. doi: 10.1016/j.amjcard.2017.04.016. Epub 2017 Apr 27.

引用本文的文献

1
Cardioprotective effects of CoQ10 in pediatric patients with lysosomal storage disorders.
Ital J Pediatr. 2025 May 28;51(1):163. doi: 10.1186/s13052-025-02008-5.
2
Spns1-dependent endocardial lysosomal function drives valve morphogenesis through Notch1-signaling.
iScience. 2024 Nov 19;27(12):111406. doi: 10.1016/j.isci.2024.111406. eCollection 2024 Dec 20.
4
5
Metabolic Disorders and Anesthesia.
Curr Anesthesiol Rep. 2019 Sep;9(3):340-359. doi: 10.1007/s40140-019-00345-w. Epub 2019 Jul 12.

本文引用的文献

1
Danon disease as a cause of concentric left ventricular hypertrophy in patients who underwent endomyocardial biopsy.
Eur Heart J. 2012 Mar;33(5):649-56. doi: 10.1093/eurheartj/ehr420. Epub 2011 Nov 21.
2
3
Sleep abnormalities in untreated patients with mucopolysaccharidosis type VI.
Am J Med Genet A. 2011 Jul;155A(7):1546-51. doi: 10.1002/ajmg.a.33902. Epub 2011 Jun 2.
5
Echocardiographic study of paediatric patients with mucopolysaccharidosis.
Cardiol Young. 2010 Jun;20(3):254-61. doi: 10.1017/S104795110999062X. Epub 2010 Apr 26.
6
PQ interval in patients with Fabry disease.
Am J Cardiol. 2010 Mar 1;105(5):753-6. doi: 10.1016/j.amjcard.2009.10.056.
7
Anderson-Fabry disease and the heart.
Prog Cardiovasc Dis. 2010 Jan-Feb;52(4):326-35. doi: 10.1016/j.pcad.2009.11.002.
8
Gaucher disease with communicating hydrocephalus and cardiac involvement.
Clin Cardiol. 2010 Jan;33(1):E26-30. doi: 10.1002/clc.20348.
9
Replacement of the aortic valve in a patient with mucolipidosis III.
Cardiol Young. 2009 Dec;19(6):641-3. doi: 10.1017/S1047951109991120. Epub 2009 Sep 24.
10
Clinical outcome and phenotypic expression in LAMP2 cardiomyopathy.
JAMA. 2009 Mar 25;301(12):1253-9. doi: 10.1001/jama.2009.371.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验