Abstract
Background Fabry disease is a rare X-linked condition that results in storage of sphingolipids in multiple organs including the heart. The cardiac phenotype consists mainly of conduction abnormalities, left ventricular hypertrophy (LVH) and disease progression (fibrosis, arrhythmias and heart failure). CMR LGE classically shows basal inferolateral LGE. Native T1 mapping has recently shown a low T1 likely to represent myocycte storage of fat, even when no LVH is present. We sought to understand the relationship of storage to LVH and ECG abnormalities.
Highlights
Fabry disease is a rare X-linked condition that results in storage of sphingolipids in multiple organs including the heart
left ventricular hypertrophy (LVH) was defined by mass index (LVMi) and a wall thickness ≥12 mm
An abnormal ECG was defined by a prolonged PR interval (>200 ms), prolonged QRS duration (>120 ms), the presence of T-wave inversions, and/or LVH by Sokolow criteria
Summary
Fabry disease is a rare X-linked condition that results in storage of sphingolipids in multiple organs including the heart. The cardiac phenotype consists mainly of conduction abnormalities, left ventricular hypertrophy (LVH) and disease progression (fibrosis, arrhythmias and heart failure). CMR LGE classically shows basal inferolateral LGE. Native T1 mapping has recently shown a low T1 likely to represent myocycte storage of fat, even when no LVH is present. We sought to understand the relationship of storage to LVH and ECG abnormalities
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