Academic Journal

Fabry Cardiomyopathy: Current Practice and Future Directions

التفاصيل البيبلوغرافية
العنوان: Fabry Cardiomyopathy: Current Practice and Future Directions
المؤلفون: Jeffrey Yim, Olivia Yau, Darwin F. Yeung, Teresa S. M. Tsang
المصدر: Cells, Vol 10, Iss 6, p 1532 (2021)
بيانات النشر: MDPI AG, 2021.
سنة النشر: 2021
المجموعة: LCC:Cytology
مصطلحات موضوعية: Fabry cardiomyopathy, Fabry disease, lysosomal storage disorder, Cytology, QH573-671
الوصف: Fabry disease (FD) is an X-linked lysosomal storage disorder caused by mutations in the galactosidase A (GLA) gene that result in deficient galactosidase A enzyme and subsequent accumulation of glycosphingolipids throughout the body. The result is a multi-system disorder characterized by cutaneous, corneal, cardiac, renal, and neurological manifestations. Increased left ventricular wall thickness represents the predominant cardiac manifestation of FD. As the disease progresses, patients may develop arrhythmias, advanced conduction abnormalities, and heart failure. Cardiac biomarkers, point-of-care dried blood spot testing, and advanced imaging modalities including echocardiography with strain imaging and magnetic resonance imaging (MRI) with T1 mapping now allow us to detect Fabry cardiomyopathy much more effectively than in the past. While enzyme replacement therapy (ERT) has been the mainstay of treatment, several promising therapies are now in development, making early diagnosis of FD even more crucial. Ongoing initiatives involving artificial intelligence (AI)-empowered interpretation of echocardiographic images, point-of-care dried blood spot testing in the echocardiography laboratory, and widespread dissemination of point-of-care ultrasound devices to community practices to promote screening may lead to more timely diagnosis of FD. Fabry disease should no longer be considered a rare, untreatable disease, but one that can be effectively identified and treated at an early stage before the development of irreversible end-organ damage.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2073-4409
Relation: https://www.mdpi.com/2073-4409/10/6/1532; https://doaj.org/toc/2073-4409
DOI: 10.3390/cells10061532
URL الوصول: https://doaj.org/article/e5beb874f291423db3ac4d4ade4d1230
رقم الانضمام: edsdoj.5beb874f291423db3ac4d4ade4d1230
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20734409
DOI:10.3390/cells10061532