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丙酸血症中的心肌病

Cardiomyopathy in propionic acidaemia.

作者信息

Massoud A F, Leonard J V

机构信息

Medical Unit, Institute of Child Health, London, United Kingdom.

出版信息

Eur J Pediatr. 1993 May;152(5):441-5. doi: 10.1007/BF01955907.

DOI:10.1007/BF01955907
PMID:8319715
Abstract

Following the death of a patient with propionic acidaemia with a cardiomyopathy we reviewed 19 patients with the same disorder for evidence of cardiomyopathy. Six patients were found to meet the diagnostic criteria. Three patients died and in the other three the cardiac disease resolved completely. All patients were treated with standard therapy and some received L-carnitine but this did not seem to influence the eventual outcome. Cardiomyopathy is an important complication of propionic acidaemia and may be rapidly fatal.

摘要

在一名患有丙酸血症合并心肌病的患者死亡后,我们对另外19名患有相同疾病的患者进行了检查,以寻找心肌病的证据。发现有6名患者符合诊断标准。3名患者死亡,另外3名患者的心脏病完全康复。所有患者均接受了标准治疗,一些患者还接受了L-肉碱治疗,但这似乎并未影响最终结果。心肌病是丙酸血症的一种重要并发症,可能会迅速致命。

相似文献

1
Cardiomyopathy in propionic acidaemia.丙酸血症中的心肌病
Eur J Pediatr. 1993 May;152(5):441-5. doi: 10.1007/BF01955907.
2
Cardiomyopathy in propionic acidaemia.
Eur J Pediatr. 1994 Jan;153(1):53. doi: 10.1007/BF02000791.
3
The effect of intravenous L-carnitine on propionic acid excretion in acute propionic acidaemia.静脉注射L-肉碱对急性丙酸血症患者丙酸排泄的影响。
Eur J Pediatr. 1984 Nov;143(1):61-3. doi: 10.1007/BF00442751.
4
Propionic acidaemia presenting with pancytopaenia in infancy.婴儿期丙酸血症伴全血细胞减少症
J Inherit Metab Dis. 1980;2(3):65-9. doi: 10.1007/BF01801721.
5
An unusual late-onset case of propionic acidaemia: biochemical investigations, neuroradiological findings and mutation analysis.
Eur J Pediatr. 1998 Jan;157(1):50-2. doi: 10.1007/s004310050765.
6
Normal growth and development with unrestricted protein intake after severe infantile propionic acidaemia.严重婴儿丙酸血症后蛋白质摄入不受限情况下的正常生长发育。
J Inherit Metab Dis. 1989;12(3):307-11. doi: 10.1007/BF01799222.
7
Methylcitrate in maternal urine during a pregnancy with a fetus affected with propionic acidaemia.患有丙酸血症胎儿的孕期母体尿液中的甲基柠檬酸盐。
J Inherit Metab Dis. 1989;12(1):86-8. doi: 10.1007/BF01805535.
8
Acute pancreatitis in propionic acidaemia.
J Inherit Metab Dis. 1995;18(2):169-72. doi: 10.1007/BF00711758.
9
Absence of acidosis in the initial presentation of propionic acidaemia.丙酸血症初始表现时无酸中毒
Arch Dis Child Fetal Neonatal Ed. 1995 May;72(3):F197-9. doi: 10.1136/fn.72.3.f197.
10
Acute infantile hemiplegia in a patient with propionic acidaemia.一名患有丙酸血症患者的急性婴儿偏瘫。
Eur J Pediatr. 1990 Jun;149(9):659-60. doi: 10.1007/BF02034758.

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1
Propionic Acidemia-Induced Proarrhythmic Electrophysiological Alterations in Human iPSC-Derived Cardiomyocytes.丙酸血症诱导人诱导多能干细胞衍生心肌细胞的致心律失常电生理改变。
J Inherit Metab Dis. 2025 May;48(3):e70030. doi: 10.1002/jimd.70030.
2
Role of carglumic acid in the long-term management of propionic and methylmalonic acidurias.卡谷氨酸在丙酸血症和甲基丙二酸血症长期管理中的作用。
Orphanet J Rare Dis. 2024 Dec 18;19(1):464. doi: 10.1186/s13023-024-03468-4.
3
Understanding the Pathogenesis of Cardiac Complications in Patients with Propionic Acidemia and Exploring Therapeutic Alternatives for Those Who Are Not Eligible or Are Waiting for Liver Transplantation.

本文引用的文献

1
Congestive cardiomyopathy associated with beta-ketothiolase deficiency.与β-酮硫解酶缺乏相关的充血性心肌病。
J Pediatr. 1981 Nov;99(5):754-7. doi: 10.1016/s0022-3476(81)80404-0.
2
Propionic acidemia: a clinical update.丙酸血症:临床最新进展
J Pediatr. 1981 Dec;99(6):835-46. doi: 10.1016/s0022-3476(81)80004-2.
3
An occidental case of cardiomyopathy and selenium deficiency.一例西方人的心肌病与硒缺乏病例。
了解丙酸血症患者心脏并发症的发病机制,并为那些不符合条件或正在等待肝移植的患者探索治疗方案。
Metabolites. 2023 Apr 16;13(4):563. doi: 10.3390/metabo13040563.
4
The Regulation and Characterization of Mitochondrial-Derived Methylmalonic Acid in Mitochondrial Dysfunction and Oxidative Stress: From Basic Research to Clinical Practice.线粒体功能障碍和氧化应激中甲基丙二酸的调节和特征:从基础研究到临床实践。
Oxid Med Cell Longev. 2022 May 24;2022:7043883. doi: 10.1155/2022/7043883. eCollection 2022.
5
Analysis of the relationship between phenotypes and genotypes in 60 Chinese patients with propionic acidemia: a fourteen-year experience at a tertiary hospital.60 例丙酸血症患者表型与基因型关系分析:三级医院 14 年经验。
Orphanet J Rare Dis. 2022 Mar 24;17(1):135. doi: 10.1186/s13023-022-02271-3.
6
Toxicokinetics of Arenobufagin and its Cardiotoxicity Mechanism Exploration Based on Lipidomics and Proteomics Approaches in Rats.基于脂质组学和蛋白质组学方法对大鼠进行蟾毒灵的毒代动力学及其心脏毒性机制探索
Front Pharmacol. 2021 Dec 22;12:780016. doi: 10.3389/fphar.2021.780016. eCollection 2021.
7
Guidelines for the diagnosis and management of methylmalonic acidaemia and propionic acidaemia: First revision.甲基丙二酸血症和丙酸血症的诊断和管理指南:第一版修订。
J Inherit Metab Dis. 2021 May;44(3):566-592. doi: 10.1002/jimd.12370. Epub 2021 Mar 9.
8
Cardiac Complications of Propionic and Other Inherited Organic Acidemias.丙酸血症及其他遗传性有机酸血症的心脏并发症
Front Cardiovasc Med. 2020 Dec 22;7:617451. doi: 10.3389/fcvm.2020.617451. eCollection 2020.
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Propionyl-CoA carboxylase - A review.丙酰辅酶 A 羧化酶 - 综述。
Mol Genet Metab. 2017 Dec;122(4):145-152. doi: 10.1016/j.ymgme.2017.10.002. Epub 2017 Oct 7.
10
Propionic acidemia as a cause of adult-onset dilated cardiomyopathy.丙酸血症作为成人起病型扩张型心肌病的一个病因。
Eur J Hum Genet. 2017 Nov;25(11):1195-1201. doi: 10.1038/ejhg.2017.127. Epub 2017 Aug 30.
N Engl J Med. 1981 May 14;304(20):1210-2. doi: 10.1056/NEJM198105143042005.
4
Urinary excretion of l-carnitine and acylcarnitines by patients with disorders of organic acid metabolism: evidence for secondary insufficiency of l-carnitine.有机酸代谢紊乱患者尿中左旋肉碱和酰基肉碱的排泄:左旋肉碱继发性缺乏的证据
Pediatr Res. 1984 Dec;18(12):1325-8. doi: 10.1203/00006450-198412000-00021.
5
Long-chain acyl coenzyme A dehydrogenase deficiency: an inherited cause of nonketotic hypoglycemia.长链酰基辅酶A脱氢酶缺乏症:非酮症低血糖的一种遗传病因。
Pediatr Res. 1985 Jul;19(7):666-71. doi: 10.1203/00006450-198507000-00006.
6
Primary (genetic) cardiomyopathies in infancy. A survey of possible disorders and guidelines for diagnosis.婴儿期原发性(遗传性)心肌病。可能疾病的调查及诊断指南。
Eur J Pediatr. 1986 Dec;145(6):454-9. doi: 10.1007/BF02429041.
7
Cardiomyopathy associated with carnitine loss in kidneys and small intestine.
Eur J Pediatr. 1988 Dec;148(3):193-7. doi: 10.1007/BF00441399.
8
Haemodialysis for metabolic decompensation in propionic acidaemia.
J Inherit Metab Dis. 1987;10(2):147-51. doi: 10.1007/BF01800040.