Evaluation of cardiac findings in mucopolysaccharidosis

Purpose Mucopolysaccharidoses (MPS) are a group of rare genetic diseases and heart involvement is one of the important conflicts in most types, which may cause serious complications. We used M-Mode and two-dimensional speckle tracking echocardiography (2D-STE) to explore cardiovascular involvements...

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Veröffentlicht in:The international journal of cardiovascular imaging 2024-01, Vol.40 (1), p.73-78
Hauptverfasser: Dehghan, Bahar, Rostampour, Noushin, Sedighi, Mohsen, Saryazdi, Mohammad Hosseini, Rizi, Mohammad Jokar, Mostofizadeh, Neda, Hashemipour, Mahin, Khoshhali, Mehri
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container_issue 1
container_start_page 73
container_title The international journal of cardiovascular imaging
container_volume 40
creator Dehghan, Bahar
Rostampour, Noushin
Sedighi, Mohsen
Saryazdi, Mohammad Hosseini
Rizi, Mohammad Jokar
Mostofizadeh, Neda
Hashemipour, Mahin
Khoshhali, Mehri
description Purpose Mucopolysaccharidoses (MPS) are a group of rare genetic diseases and heart involvement is one of the important conflicts in most types, which may cause serious complications. We used M-Mode and two-dimensional speckle tracking echocardiography (2D-STE) to explore cardiovascular involvements in MPS patients. Method The present cross-sectional study investigated the frequency of cardiac involvements in MPS patients. Included participants were MPS types I, II, III, IV, and VI who underwent specialized echocardiography exams to assess valvular function, systolic and diastolic function, left ventricular ejection fraction (LVEF), and global longitudinal strain (GLS). Results 35 patients were enrolled in this study. The total mean age of patients was 9.58 ± 5.11 years and 71.4% were male. Type IV (40%) and type III (31.4%) were the most frequent MPS. Although LVEF did not differ notably among MPS types, GLS was significantly different (p = 0.029). Mitral regurgitation was observed remarkably more in MPS type III (p = 0.001) while mitral stenosis was more common in type III (p = 0.007). There was a significant association between LVEF and GLS (β= -0.662; p = 0.025) and between LVEF and MPS type (β = 1.82; p = 0.025) when adjusted for GLS. Conclusion Cardiac complications are very common and are one of the most important causes of death in MPS patients. 2D-STE seems to be superior to M-Mode for detection of early and subclinical cardiac dysfunction in MPS patients.
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We used M-Mode and two-dimensional speckle tracking echocardiography (2D-STE) to explore cardiovascular involvements in MPS patients. Method The present cross-sectional study investigated the frequency of cardiac involvements in MPS patients. Included participants were MPS types I, II, III, IV, and VI who underwent specialized echocardiography exams to assess valvular function, systolic and diastolic function, left ventricular ejection fraction (LVEF), and global longitudinal strain (GLS). Results 35 patients were enrolled in this study. The total mean age of patients was 9.58 ± 5.11 years and 71.4% were male. Type IV (40%) and type III (31.4%) were the most frequent MPS. Although LVEF did not differ notably among MPS types, GLS was significantly different (p = 0.029). Mitral regurgitation was observed remarkably more in MPS type III (p = 0.001) while mitral stenosis was more common in type III (p = 0.007). There was a significant association between LVEF and GLS (β= -0.662; p = 0.025) and between LVEF and MPS type (β = 1.82; p = 0.025) when adjusted for GLS. Conclusion Cardiac complications are very common and are one of the most important causes of death in MPS patients. 2D-STE seems to be superior to M-Mode for detection of early and subclinical cardiac dysfunction in MPS patients.</description><identifier>ISSN: 1875-8312</identifier><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1875-8312</identifier><identifier>EISSN: 1573-0743</identifier><identifier>DOI: 10.1007/s10554-023-02983-y</identifier><identifier>PMID: 37845409</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Age ; Blood pressure ; Body mass index ; Cardiac Imaging ; Cardiology ; Complications ; Congenital diseases ; Cross-sectional studies ; Echocardiography ; Enzymes ; Genetic disorders ; Heart ; Heart diseases ; Imaging ; Medicine ; Medicine &amp; Public Health ; Metabolic disorders ; Mucopolysaccharidosis ; Original Paper ; Pulmonary arteries ; Radiology ; Regurgitation ; Research centers ; Stenosis ; Variance analysis ; Ventricle</subject><ispartof>The international journal of cardiovascular imaging, 2024-01, Vol.40 (1), p.73-78</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2023. 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We used M-Mode and two-dimensional speckle tracking echocardiography (2D-STE) to explore cardiovascular involvements in MPS patients. Method The present cross-sectional study investigated the frequency of cardiac involvements in MPS patients. Included participants were MPS types I, II, III, IV, and VI who underwent specialized echocardiography exams to assess valvular function, systolic and diastolic function, left ventricular ejection fraction (LVEF), and global longitudinal strain (GLS). Results 35 patients were enrolled in this study. The total mean age of patients was 9.58 ± 5.11 years and 71.4% were male. Type IV (40%) and type III (31.4%) were the most frequent MPS. Although LVEF did not differ notably among MPS types, GLS was significantly different (p = 0.029). Mitral regurgitation was observed remarkably more in MPS type III (p = 0.001) while mitral stenosis was more common in type III (p = 0.007). 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We used M-Mode and two-dimensional speckle tracking echocardiography (2D-STE) to explore cardiovascular involvements in MPS patients. Method The present cross-sectional study investigated the frequency of cardiac involvements in MPS patients. Included participants were MPS types I, II, III, IV, and VI who underwent specialized echocardiography exams to assess valvular function, systolic and diastolic function, left ventricular ejection fraction (LVEF), and global longitudinal strain (GLS). Results 35 patients were enrolled in this study. The total mean age of patients was 9.58 ± 5.11 years and 71.4% were male. Type IV (40%) and type III (31.4%) were the most frequent MPS. Although LVEF did not differ notably among MPS types, GLS was significantly different (p = 0.029). Mitral regurgitation was observed remarkably more in MPS type III (p = 0.001) while mitral stenosis was more common in type III (p = 0.007). 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subjects Age
Blood pressure
Body mass index
Cardiac Imaging
Cardiology
Complications
Congenital diseases
Cross-sectional studies
Echocardiography
Enzymes
Genetic disorders
Heart
Heart diseases
Imaging
Medicine
Medicine & Public Health
Metabolic disorders
Mucopolysaccharidosis
Original Paper
Pulmonary arteries
Radiology
Regurgitation
Research centers
Stenosis
Variance analysis
Ventricle
title Evaluation of cardiac findings in mucopolysaccharidosis
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