Nejvíce citovaný článek - PubMed ID 36036737
Heart failure in Fabry disease revisited: application of current heart failure guidelines and recommendations
AIMS: Fabry disease (FD) is a multisystemic lysosomal storage disorder caused by a defect in the alpha-galactosidase A gene that manifests as a phenocopy of hypertrophic cardiomyopathy. We assessed the echocardiographic 3D left ventricular (LV) strain of patients with FD in relation to heart failure severity using natriuretic peptides, the presence of a cardiovascular magnetic resonance (CMR) late gadolinium enhancement scar, and long-term prognosis. METHODS AND RESULTS: 3D echocardiography was feasible in 75/99 patients with FD [aged 47 ± 14 years, 44% males, LV ejection fraction (EF) 65 ± 6% and 51% with hypertrophy or concentric remodelling of the LV]. Long-term prognosis (death, heart failure decompensation, or cardiovascular hospitalization) was assessed over a median follow-up of 3.1 years. A stronger correlation was observed for N-terminal pro-brain natriuretic peptide levels with 3D LV global longitudinal strain (GLS, r = -0.49, P < 0.0001) than with 3D LV global circumferential strain (GCS, r = -0.38, P < 0.001) or 3D LVEF (r = -0.25, P = 0.036). Individuals with posterolateral scar on CMR had lower posterolateral 3D circumferential strain (CS; P = 0.009). 3D LV-GLS was associated with long-term prognosis [adjusted hazard ratio 0.85 (confidence interval 0.75-0.95), P = 0.004], while 3D LV-GCS and 3D LVEF were not (P = 0.284 and P = 0.324). CONCLUSION: 3D LV-GLS is associated with both heart failure severity measured by natriuretic peptide levels and long-term prognosis. Decreased posterolateral 3D CS reflects typical posterolateral scarring in FD. Where feasible, 3D-strain echocardiography can be used for a comprehensive mechanical assessment of the LV in patients with FD.
- Klíčová slova
- 3D echocardiography, Fabry disease, cardiovascular magnetic resonance, heart failure, myocardial strain,
- MeSH
- dysfunkce levé srdeční komory * diagnostické zobrazování etiologie MeSH
- echokardiografie trojrozměrná * metody MeSH
- echokardiografie metody MeSH
- Fabryho nemoc * komplikace diagnostické zobrazování MeSH
- funkce levé komory srdeční MeSH
- gadolinium MeSH
- jizva diagnostické zobrazování MeSH
- kontrastní látky MeSH
- lidé MeSH
- prognóza MeSH
- reprodukovatelnost výsledků MeSH
- srdeční selhání * diagnostické zobrazování etiologie MeSH
- tepový objem MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Názvy látek
- gadolinium MeSH
- kontrastní látky MeSH