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

被引:1
作者
Hernandez-Hernandez, Aitor [1 ]
Diez-Lopez, Carles [2 ]
Azevedo, Olga [3 ]
Palomino-Doza, Julian [4 ]
Alfonso, Fernando [5 ]
Fuentes-Canamero, Maria Eugenia [6 ]
Mogollon Jimenez, Maria Victoria [7 ]
Casanova Rodriguez, Carlos [8 ]
Ruz, Aurora [9 ]
Tiron, Coloma [10 ]
Climent, Vicente [11 ]
Garcia-Pavia, Pablo [1 ]
机构
[1] Hosp Univ Puerta Hierro Majadahonda, CIBERCV, Manuel de Falla 2, Madrid 28222, Spain
[2] Hosp Univ Bellvitge, Barcelona, Spain
[3] Hosp Senhora Oliveira, Guimaraes, Portugal
[4] Hosp Univ 12 Octubre, CIBERCV, Madrid, Spain
[5] Hosp Univ La Princesa, Madrid, Spain
[6] Hosp Univ Badajoz, Badajoz, Spain
[7] Complejo Hosp Univ Caceres, Caceres, Spain
[8] Hosp Univ Infanta Sofia, Madrid, Spain
[9] Hosp La Serrania, Ronda, Spain
[10] Hosp Univ Dr Josep Trueta, CIBERCV, Girona, Spain
[11] Hosp Gen Univ Alicante, Alicante, Spain
关键词
Fabry disease; Chest pain; Cardiovascular disease; Angina;
D O I
10.1007/s12265-020-10097-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:948 / 950
页数:3
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