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心脏受累在安德森-法布里病中的情况。先进超声心动图的作用。

Cardiac involvement in Anderson-Fabry disease. The role of advanced echocardiography.

作者信息

Spinelli Letizia, Bianco Antonio, Riccio Eleonora, Pisani Antonio, Iaccarino Guido

机构信息

Interdepartmental Research Center for Hypertension and Related Conditions, University of Naples, Naples, Italy.

Department of Public Health, Federico II University, Naples, Italy.

出版信息

Front Cardiovasc Med. 2024 Sep 2;11:1440636. doi: 10.3389/fcvm.2024.1440636. eCollection 2024.

DOI:10.3389/fcvm.2024.1440636
PMID:39314767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11417619/
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.

摘要

安德森-法布里病(AFD)是一种溶酶体贮积症,由于半乳糖苷酶α基因突变导致α-半乳糖苷酶A活性缺陷。心血管受累是AFD患者的主要死亡原因。心脏成像在AFD患者的评估和管理中起着关键作用。超声心动图是识别AFD心肌病典型特征的一线成像方式。能够评估心肌变形的先进超声心动图为了解AFD患者的心脏功能状态提供了依据。本综述强调了先进超声成像在AFD中的价值和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fce/11417619/a82df0a1947e/fcvm-11-1440636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fce/11417619/a82df0a1947e/fcvm-11-1440636-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fce/11417619/a82df0a1947e/fcvm-11-1440636-g001.jpg

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Prognostic Implications of Left Ventricular Hypertrophy and Mechanical Function in Fabry Disease: A Longitudinal Cohort Study.法布瑞病患者左心室肥厚和机械功能的预后意义:一项纵向队列研究。
J Am Soc Echocardiogr. 2024 Aug;37(8):787-796. doi: 10.1016/j.echo.2024.04.010. Epub 2024 May 3.
2
Left atrial structural and functional remodelling in Fabry disease and cardiac amyloidosis: A comparative analysis.法布瑞氏病与心脏淀粉样变性的左心房结构和功能重构:对比分析。
Int J Cardiol. 2024 May 1;402:131891. doi: 10.1016/j.ijcard.2024.131891. Epub 2024 Feb 19.
3
Right heart and left atrial strain to differentiate cardiac amyloidosis and Fabry disease.
右心和左心房应变可区分心脏淀粉样变性和 Fabry 病。
Sci Rep. 2024 Jan 30;14(1):2445. doi: 10.1038/s41598-024-52890-y.
4
Impact of enzyme replacement therapy and migalastat on left atrial strain and cardiomyopathy in patients with Fabry disease.酶替代疗法和米加司他对法布里病患者左心房应变和心肌病的影响。
Front Cardiovasc Med. 2023 Nov 2;10:1223635. doi: 10.3389/fcvm.2023.1223635. eCollection 2023.
5
Clinical study of left ventricular structure and function in patients with Anderson-Fabry disease before and after enzyme replacement therapy.安德森-法布里病患者酶替代治疗前后左心室结构和功能的临床研究。
J Clin Ultrasound. 2024 Jan;52(1):20-29. doi: 10.1002/jcu.23592. Epub 2023 Oct 26.
6
Prognostic Implications of the Extent of Cardiac Damage in Patients With Fabry Disease.法布里病患者心脏损伤程度的预后意义。
J Am Coll Cardiol. 2023 Oct 10;82(15):1524-1534. doi: 10.1016/j.jacc.2023.07.026.
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