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Titre du document / Document title

The right ventricle in Fabry disease

Auteur(s) / Author(s)

KAMPMANN C. ; BAEHNER F. A. ; WHYBRA C. ; BAJBOUJ M. ; BARON K. ; KNUF M. ; WIETHOFF C. M. ; TRüBEL H. ; BECK M. ;

Résumé / Abstract

Aim: Left ventricular (LV) hypertrophy is a common feature in Fabry disease-related progressive infiltrative hypertrophic cardiomyopathy and affects both men and women, but at different ages. To date, however, little is known about the role of right ventricular (RV) function in Fabry disease. Therefore, this study aimed to investigate the extent of RV involvement in patients with Fabry disease. Methods: Echocardiographic examination of the right and left ventricle was carried out in 129 patients (80 women and 49 men) with Fabry disease. Results: RV hypertrophy was present in 46 patients (35.7%). Of these patients, 13 showed signs of severely depressed right systolic function (tricuspid annulus movement <10 mm and a prolonged RV pre-ejection period/pulmonary ejection time ratio) and six patients showed additional severe depression of parameters of diastolic function (pseudo-normal or restrictive RV filling patterns). Those patients with RV hypertrophy and severely compromised systolic and diastolic function had the highest LV masses (92′11.7 g/m2.7). Conclusion: RV involvement is common in Fabry disease and ultimately progresses to severe systolic and diastolic RV dysfunction. These findings might explain why patients with preserved LV function can develop clinical features such as reduced exercise capacity, organomegaly and lymphoedema.

Revue / Journal Title

Acta paediatrica. Supplement    ISSN  0803-5326 

Source / Source

Congrès
International Symposium on Lysosomal Storage Diseases No4, Seville , ESPAGNE (04/2004)
2005, vol. 94, no 447 (133 p.)  [Document : 4 p.] (bibl.: dissem.), [Notes: Papers and abstracts], pp. 15-18 [4 page(s) (article)]

Langue / Language

Anglais

Editeur / Publisher

Blackwell, Oxford, ROYAUME-UNI  (1992) (Revue)

Mots-clés d'auteur / Author Keywords

Cardiomyopathy

;

congestive heart failure

;

echocardiography

;

Fabry disease

;

right ventricular function

;

Localisation / Location

INIST-CNRS, Cote INIST : 944 B, 35400012941978.0020

Nº notice refdoc (ud4) : 16677924



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