Screening of Fabry Disease in Patients with Chest Pain Without Obstructive Coronary Artery Disease

Identification of Anderson-Fabry disease (AFD) in cardiac patients has been restricted so far to patients with left ventricular hypertrophy. Coronary microvascular dysfunction has been described in AFD with and without cardiac hypertrophy and may represent the only manifestation in AFD patients, off...

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Veröffentlicht in:Journal of cardiovascular translational research 2021-10, Vol.14 (5), p.948-950
Hauptverfasser: Hernández-Hernández, Aitor, Diez-López, Carles, Azevedo, Olga, Palomino-Doza, Julian, Alfonso, Fernando, Fuentes-Cañamero, María Eugenia, Mogollón Jiménez, María Victoria, Casanova Rodríguez, Carlos, Ruz, Aurora, Tirón, Coloma, Climent, Vicente, Garcia-Pavia, Pablo
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container_end_page 950
container_issue 5
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container_title Journal of cardiovascular translational research
container_volume 14
creator Hernández-Hernández, Aitor
Diez-López, Carles
Azevedo, Olga
Palomino-Doza, Julian
Alfonso, Fernando
Fuentes-Cañamero, María Eugenia
Mogollón Jiménez, María Victoria
Casanova Rodríguez, Carlos
Ruz, Aurora
Tirón, Coloma
Climent, Vicente
Garcia-Pavia, Pablo
description Identification of Anderson-Fabry disease (AFD) in cardiac patients has been restricted so far to patients with left ventricular hypertrophy. Coronary microvascular dysfunction has been described in AFD with and without cardiac hypertrophy and may represent the only manifestation in AFD patients, offering a possible earlier diagnosis. We studied the prevalence of AFD in 663 patients with chest pain with normal or non-obstructive coronary arteries. The overall prevalence of AFD in this cohort was only 0.15% (1/663). AFD is not a frequent cause of chest pain without obstructive coronary artery disease and screening efforts should not be conducted in this patient population.
doi_str_mv 10.1007/s12265-020-10097-2
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subjects Aged
Angina Pectoris - diagnostic imaging
Angina Pectoris - epidemiology
Biomedical Engineering and Bioengineering
Biomedicine
Cardiology
Computed Tomography Angiography
Coronary Angiography
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - epidemiology
Cross-Sectional Studies
Fabry Disease - diagnostic imaging
Fabry Disease - epidemiology
Female
Human Genetics
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Portugal - epidemiology
Prevalence
Short Communication
Spain - epidemiology
title Screening of Fabry Disease in Patients with Chest Pain Without Obstructive Coronary Artery Disease
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