Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome

The mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is an uncommon cause of cardiac hypertrophy, fibrosis, and dysfunction. It shares similar features to numerous other causes of left ventricular hypertrophy, and therefore, because of its rarity, ma...

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Main Authors: Anna B. Reid, Luigi Venetucci, Matthias Schmitt, Gaetano Nucifora
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/2/295
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author Anna B. Reid
Luigi Venetucci
Matthias Schmitt
Gaetano Nucifora
author_facet Anna B. Reid
Luigi Venetucci
Matthias Schmitt
Gaetano Nucifora
author_sort Anna B. Reid
collection DOAJ
description The mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is an uncommon cause of cardiac hypertrophy, fibrosis, and dysfunction. It shares similar features to numerous other causes of left ventricular hypertrophy, and therefore, because of its rarity, may not be immediately considered as a diagnosis. Prompt recognition of clinical and cardiac imaging features may expedite diagnosis and management. We report the case of a 38-year-old man admitted with neurological symptoms and in whom the diagnostic workup led to the diagnosis of MELAS syndrome with cardiac involvement.
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spelling doaj.art-972ea89056344ecdb99192f7c15860062023-12-11T16:53:57ZengMDPI AGDiagnostics2075-44182021-02-0111229510.3390/diagnostics11020295Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS SyndromeAnna B. Reid0Luigi Venetucci1Matthias Schmitt2Gaetano Nucifora3Cardiac Imaging Unit, North West Heart Centre, Manchester University NHS Foundation Trust, Manchester M23 9LT, UKManchester Heart Centre, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester M13 9WL, UKCardiac Imaging Unit, North West Heart Centre, Manchester University NHS Foundation Trust, Manchester M23 9LT, UKCardiac Imaging Unit, North West Heart Centre, Manchester University NHS Foundation Trust, Manchester M23 9LT, UKThe mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) syndrome is an uncommon cause of cardiac hypertrophy, fibrosis, and dysfunction. It shares similar features to numerous other causes of left ventricular hypertrophy, and therefore, because of its rarity, may not be immediately considered as a diagnosis. Prompt recognition of clinical and cardiac imaging features may expedite diagnosis and management. We report the case of a 38-year-old man admitted with neurological symptoms and in whom the diagnostic workup led to the diagnosis of MELAS syndrome with cardiac involvement.https://www.mdpi.com/2075-4418/11/2/295cardiac magnetic resonancehypertrophic cardiomyopathyleft ventricular hypertrophyMELAS syndrome
spellingShingle Anna B. Reid
Luigi Venetucci
Matthias Schmitt
Gaetano Nucifora
Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
Diagnostics
cardiac magnetic resonance
hypertrophic cardiomyopathy
left ventricular hypertrophy
MELAS syndrome
title Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
title_full Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
title_fullStr Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
title_full_unstemmed Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
title_short Unraveling an Unusual Phenocopy of Hypertrophic Cardiomyopathy: MELAS Syndrome
title_sort unraveling an unusual phenocopy of hypertrophic cardiomyopathy melas syndrome
topic cardiac magnetic resonance
hypertrophic cardiomyopathy
left ventricular hypertrophy
MELAS syndrome
url https://www.mdpi.com/2075-4418/11/2/295
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AT luigivenetucci unravelinganunusualphenocopyofhypertrophiccardiomyopathymelassyndrome
AT matthiasschmitt unravelinganunusualphenocopyofhypertrophiccardiomyopathymelassyndrome
AT gaetanonucifora unravelinganunusualphenocopyofhypertrophiccardiomyopathymelassyndrome