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用于法布里心肌病诊断和管理的当代多模态成像

Contemporary Multimodality Imaging for Diagnosis and Management of Fabry Cardiomyopathy.

作者信息

Kaur Simrat, Bhalla Jaideep Singh, Erwin Angelika L, Jaber Wael, Wang Tom Kai Ming

机构信息

Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Sydell and Arnold Miller, Heart, Vascular and Thoracic Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.

Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44106, USA.

出版信息

J Clin Med. 2024 Aug 14;13(16):4771. doi: 10.3390/jcm13164771.

Abstract

Fabry disease (FD) is an X-linked lysosomal storage disorder which leads to the accumulation of globotriaosylceramide (Gb3) in various organs, including the heart. FD can be subdivided into classic disease resulting from negligible residual enzyme activity and a milder, atypical phenotype with later onset and less severe clinical presentation. The use of multimodality cardiac imaging including echocardiography, cardiac magnetic resonance and nuclear imaging is important for the diagnostic and prognostic evaluation in these patients. There are gaps in the literature regarding the comprehensive description of cardiac findings of FD and its evaluation by multimodality imaging. In this review, we describe the contemporary practices and roles of multimodality cardiac imaging in individuals affected with Fabry disease.

摘要

法布里病(FD)是一种X连锁溶酶体贮积症,可导致包括心脏在内的各种器官中球三糖神经酰胺(Gb3)的蓄积。FD可分为因残余酶活性可忽略不计导致的经典型疾病,以及起病较晚、临床表现较轻的非典型表型。使用包括超声心动图、心脏磁共振和核成像在内的多模态心脏成像对于这些患者的诊断和预后评估很重要。关于FD心脏表现的全面描述及其通过多模态成像进行的评估,文献中存在空白。在本综述中,我们描述了多模态心脏成像在法布里病患者中的当代实践和作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff6/11355474/e9092e1fe5f6/jcm-13-04771-g001.jpg

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