Electrocardiographic Changes and Arrhythmia in Fabry Disease

Fabry disease is an X-chromosome-linked lysosomal storage disease characterized by a deficient activity or, in most males, absence of the enzyme alpha-galactosidase A (a-Gal A) leading to systemic, primary lysosomal accumulation of globotriaosylceramide (Gb3). Multi-system morbidity commonly develop...

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Main Author: Mehdi eNamdar
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-03-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fcvm.2016.00007/full
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author Mehdi eNamdar
author_facet Mehdi eNamdar
author_sort Mehdi eNamdar
collection DOAJ
description Fabry disease is an X-chromosome-linked lysosomal storage disease characterized by a deficient activity or, in most males, absence of the enzyme alpha-galactosidase A (a-Gal A) leading to systemic, primary lysosomal accumulation of globotriaosylceramide (Gb3). Multi-system morbidity commonly develops in childhood and, with progression of the disease, life-threatening complications often occur in adulthood including renal failure, cardiovascular dysfunction, neuropathy and stroke. Life expectancy is reduced by an average of 15 years in female patients and 20 years in males. The pathognomonic Gb3 accumulation has been repeatedly observed over the past decades by many groups in vascular endothelial and smooth muscle cells, cardiomyocytes, cardiac conduction tissue and valvular fibroblasts. Although incompletely described, it is likely that inflammatory and neuro-hormonal mechanisms are involved in subsequent cellular and vascular dysfunction, leading to tissue ischaemia, hypertrophy, and fibrosis.
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spelling doaj.art-6ee37d2b93a343e0847129b65d3fc9c02022-12-21T18:20:42ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2016-03-01310.3389/fcvm.2016.00007174081Electrocardiographic Changes and Arrhythmia in Fabry DiseaseMehdi eNamdar0Hôpitaux Universitaires de GenèveFabry disease is an X-chromosome-linked lysosomal storage disease characterized by a deficient activity or, in most males, absence of the enzyme alpha-galactosidase A (a-Gal A) leading to systemic, primary lysosomal accumulation of globotriaosylceramide (Gb3). Multi-system morbidity commonly develops in childhood and, with progression of the disease, life-threatening complications often occur in adulthood including renal failure, cardiovascular dysfunction, neuropathy and stroke. Life expectancy is reduced by an average of 15 years in female patients and 20 years in males. The pathognomonic Gb3 accumulation has been repeatedly observed over the past decades by many groups in vascular endothelial and smooth muscle cells, cardiomyocytes, cardiac conduction tissue and valvular fibroblasts. Although incompletely described, it is likely that inflammatory and neuro-hormonal mechanisms are involved in subsequent cellular and vascular dysfunction, leading to tissue ischaemia, hypertrophy, and fibrosis.http://journal.frontiersin.org/Journal/10.3389/fcvm.2016.00007/fullElectrocardiographyFabry DiseaseLysosomal Storage DiseasesSphingolipidosesarrhythmia
spellingShingle Mehdi eNamdar
Electrocardiographic Changes and Arrhythmia in Fabry Disease
Frontiers in Cardiovascular Medicine
Electrocardiography
Fabry Disease
Lysosomal Storage Diseases
Sphingolipidoses
arrhythmia
title Electrocardiographic Changes and Arrhythmia in Fabry Disease
title_full Electrocardiographic Changes and Arrhythmia in Fabry Disease
title_fullStr Electrocardiographic Changes and Arrhythmia in Fabry Disease
title_full_unstemmed Electrocardiographic Changes and Arrhythmia in Fabry Disease
title_short Electrocardiographic Changes and Arrhythmia in Fabry Disease
title_sort electrocardiographic changes and arrhythmia in fabry disease
topic Electrocardiography
Fabry Disease
Lysosomal Storage Diseases
Sphingolipidoses
arrhythmia
url http://journal.frontiersin.org/Journal/10.3389/fcvm.2016.00007/full
work_keys_str_mv AT mehdienamdar electrocardiographicchangesandarrhythmiainfabrydisease