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Figliozzi S, Kollia E, Simistiras A, Camporeale A, Stankowski K, Masci PG, Mavraganis G, Lombardi M, Condorelli G, Francone M, Pieroni M, Georgiopoulos G. Effects of Enzyme Replacement Therapy on Cardiac MRI Findings in Fabry Disease: A Systematic Review and Meta-Analysis. Radiol Cardiothorac Imaging 2024; 6:e230154. [PMID: 38842453 DOI: 10.1148/ryct.230154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2024]
Abstract
Purpose To perform a systematic review and meta-analysis to assess the effect of enzyme replacement therapy on cardiac MRI parameters in patients with Fabry disease. Materials and Methods A systematic literature search was conducted from January 1, 2000, through January 1, 2024, in PubMed, ClinicalTrials.gov, Embase, and Cochrane Library databases. Study outcomes were changes in the following parameters: (a) left ventricular wall mass (LVM), measured in grams; (b) LVM indexed to body mass index, measured in grams per meters squared; (c) maximum left ventricular wall thickness (MLVWT), measured in millimeters; (d) late gadolinium enhancement (LGE) extent, measured in percentage of LVM; and (e) native T1 mapping, measured in milliseconds. A random-effects meta-analysis of the pooled mean differences between baseline and follow-up parameters was conducted. The study protocol was registered in PROSPERO (CRD42022336223). Results The final analysis included 11 studies of a total of 445 patients with Fabry disease (mean age ± SD, 41 years ± 11; 277 male, 168 female). Between baseline and follow-up cardiac MRI, the following did not change: T1 mapping (mean difference, 6 msec [95% CI: -2, 15]; two studies, 70 patients, I2 = 88%) and LVM indexed (mean difference, -1 g/m2 [95% CI: -6, 3]; four studies, 290 patients, I2 = 81%). The following measures minimally decreased: LVM (mean difference, -18 g [95% CI: -33, -3]; seven studies, 107 patients, I2 = 96%) and MLVWT (mean difference, -1 mm [95% CI: -2, -0.02]; six studies, 151 patients, I2 = 90%). LGE extent increased (mean difference, 1% [95% CI: 1, 1]; three studies, 114 patients, I2 = 85%). Conclusion In patients with Fabry disease, enzyme replacement therapy was associated with stabilization of LVM, MLVWT, and T1 mapping values, whereas LGE extent mildly increased. Keywords: Fabry Disease, Enzyme Replacement Therapy (ERT), Cardiac MRI, Late Gadolinium Enhancement (LGE) Supplemental material is available for this article. © RSNA, 2024.
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Affiliation(s)
- Stefano Figliozzi
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Eleni Kollia
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Alexandros Simistiras
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Antonia Camporeale
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Kamil Stankowski
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Pier Giorgio Masci
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - George Mavraganis
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Massimo Lombardi
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Gianluigi Condorelli
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Marco Francone
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Maurizio Pieroni
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
| | - Georgios Georgiopoulos
- From the Cardio Center, IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089 Rozzano, Milan, Italy (S.F., G.C., M.F.); Emergency Department, Hippokrateio General Hospital of Athens, Athens, Greece (E.K.); Institute for Bioinnovation, BSRC Alexander Fleming, Vari, Greece (A.S.); Multimodality Imaging Section, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy (A.C., M.L., G.C., M.F.); Hunimed, Humanitas University, Pieve Emanuele, Milan, Italy (K.S.); King's College London, London, United Kingdom (P.G.M.); National and Kapodistrian University of Athens, Athens, Greece (G.M., G.G.); and San Donato Hospital, Arezzo, Italy (M.P.)
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Steudel T, Barzen G, Frumkin D, Romero-Dorta E, Spethmann S, Hindricks G, Stangl K, Knebel F, Heidecker B, Canaan-Kühl S, Pernice HF, Hahn K, Mattig I, Brand A. Diagnostic value of left ventricular layer strain and specific regional strain patterns in cardiac amyloidosis and Fabry disease. EUROPEAN HEART JOURNAL OPEN 2024; 4:oeae041. [PMID: 38863522 PMCID: PMC11165315 DOI: 10.1093/ehjopen/oeae041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Revised: 04/30/2024] [Accepted: 05/08/2024] [Indexed: 06/13/2024]
Abstract
Aims Layer-specific left ventricular (LV) strain alterations have been suggested as a specific finding in Fabry disease (FD). Our study aimed to assess the diagnostic value of layer-specific radial strain (RS) indices compared to the established LV regional strain pattern in cardiac amyloidosis (CA) and FD, i.e. apical sparing and posterolateral strain deficiency (PLSD). Methods and results We retrospectively analysed the global, subendocardial, subepicardial LV radial strain, the corresponding strain gradient, as well as the regional and global longitudinal strain. The diagnostic accuracy of the diverse LV strain analyses was comparatively assessed using receiver operating characteristic curve and multivariable regression analyses. In 40 FD and 76 CA patients, CA featured more reduced layer strain values [global RS -12.3 (-15.6 to -9.6) in CA vs. -16.7 (-20.0 to -13.6) in FD; P < 0.001; subendocardial RS -22.3 (-27.4 to -15.9) vs. -28.3 (-31.8 to -23.6), P < 0.001; subepicardial RS -6.6 (-8.6 to -4.7) in CA vs. -8.9 (-11.7 to - 6.5) in FD; P < 0.001]. Global radial and longitudinal strain held an area under the curve (AUC) of 0.75 (0.66-0.84) and AUC 0.73 (0.63-0.83). While the apical sparing and PLSD strain pattern showed the highest accuracy as single parameters [AUC 0.87 (0.79-0.95) and 0.81 (0.72-0.89), P < 0.001], the combination of subendocardial RS and the apical sparing pattern featured the highest diagnostic accuracy [AUC 0.92 (0.87-0.97)]. Conclusion Combining radial strain-derived parameters to the established strain pattern apical sparing and PLSD improve the diagnostic accuracy in the echocardiographic assessment in suspected storage disease.
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Affiliation(s)
- Tilman Steudel
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
| | - Gina Barzen
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
| | - David Frumkin
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
| | - Elena Romero-Dorta
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
| | - Sebastian Spethmann
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
| | - Gerhard Hindricks
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
| | - Karl Stangl
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
| | - Fabian Knebel
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
- Berlin Institute of Health at Charité – Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, Berlin, Germany
- Sana Klinikum Lichtenberg, Innere Medizin II: Schwerpunkt Kardiologie, Berlin, Germany
| | - Bettina Heidecker
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Hindenburgdamm 30, Berlin 12203, Germany
| | - Sima Canaan-Kühl
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Medizinische Klinik mit Schwerpunkt Nephrologie und Internistische Intensivmedizin, Fabry Zentrum, Zentrum für seltene Nierenerkrankungen (CeRKiD), Campus Charité Mitte, Charitéplatz 1, Berlin 10117, Germany
| | - Helena Franziska Pernice
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Klinik für Neurologie und Experimentelle Neurologie, Charitéplatz 1, Berlin 10117, Germany
| | - Katrin Hahn
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- Berlin Institute of Health at Charité – Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, Berlin, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Klinik für Neurologie und Experimentelle Neurologie, Charitéplatz 1, Berlin 10117, Germany
| | - Isabel Mattig
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
- Berlin Institute of Health at Charité – Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, Berlin, Germany
| | - Anna Brand
- Deutsches Herzzentrum der Charité – Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, Berlin 10117, Germany
- Charité – Universitätsmedizin Berlin, Amyloidosis Center Charité Berlin (ACCB) , Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Berlin, Berlin, Germany
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Monda E, Falco L, Palmiero G, Rubino M, Perna A, Diana G, Verrillo F, Dongiglio F, Cirillo A, Fusco A, Caiazza M, Limongelli G. Cardiovascular Involvement in Fabry's Disease: New Advances in Diagnostic Strategies, Outcome Prediction and Management. Card Fail Rev 2023; 9:e12. [PMID: 37602190 PMCID: PMC10433112 DOI: 10.15420/cfr.2023.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 05/22/2023] [Indexed: 08/22/2023] Open
Abstract
Cardiovascular involvement is common in Fabry's disease and is the leading cause of morbidity and mortality. The research is focused on identifying diagnostic clues suggestive of cardiovascular involvement in the preclinical stage of the disease through clinical and imaging markers. Different pathophysiologically driven therapies are currently or will soon be available for the treatment of Fabry's disease, with the most significant benefit observed in the early stages of the disease. Thus, early diagnosis and risk stratification for adverse outcomes are crucial to determine when to start an aetiological treatment. This review describes the cardiovascular involvement in Fabry's disease, focusing on the advances in diagnostic strategies, outcome prediction and disease management.
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Affiliation(s)
- Emanuele Monda
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
- Institute of Cardiovascular Science, University College LondonLondon, UK
| | - Luigi Falco
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Giuseppe Palmiero
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Marta Rubino
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Alessia Perna
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Gaetano Diana
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Federica Verrillo
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Francesca Dongiglio
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Annapaola Cirillo
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Adelaide Fusco
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Martina Caiazza
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
| | - Giuseppe Limongelli
- Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalNaples, Italy
- Institute of Cardiovascular Science, University College LondonLondon, UK
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