Analysis of the factors influencing the cardiac phenotype in Friedreich's ataxia.
Identifieur interne : 002B65 ( Ncbi/Merge ); précédent : 002B64; suivant : 002B66Analysis of the factors influencing the cardiac phenotype in Friedreich's ataxia.
Auteurs : Bheeshma Rajagopalan [Royaume-Uni] ; Jane M. Francis ; Fraser Cooke ; L V Prasad Korlipara ; Andrew M. Blamire ; Anthony H V. Schapira ; Jason Madan ; Stefan Neubauer ; J Mark CooperSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
English descriptors
- KwdEn :
- Adult, Cardiomegaly (epidemiology), Cardiomegaly (genetics), Cardiomegaly (pathology), Electrocardiography, Female, Friedreich Ataxia (epidemiology), Genotype, Humans, Iron-Binding Proteins (genetics), Magnetic Resonance Imaging, Male, Membrane Glycoproteins (genetics), Phenotype, Point Mutation (genetics), Risk Factors, Time Factors, Trinucleotide Repeats (genetics).
- MESH :
- chemical , genetics : Iron-Binding Proteins, Membrane Glycoproteins.
- epidemiology : Cardiomegaly, Friedreich Ataxia.
- genetics : Cardiomegaly, Point Mutation, Trinucleotide Repeats.
- pathology : Cardiomegaly.
- Adult, Electrocardiography, Female, Genotype, Humans, Magnetic Resonance Imaging, Male, Phenotype, Risk Factors, Time Factors.
Abstract
Friedreich's ataxia (FRDA) has been associated with both cardiac hypertrophy and to a lesser degree dilated cardiomyopathy. We have conducted a cross sectional magnetic resonance imaging (MRI) study of 25 patients with clinically and genetically confirmed FRDA and 24 healthy controls to analyse how disease parameters influence cardiac features in FRDA. MR cine imaging in the long and short axis planes was performed alongside clinical assessments. LV mass was most pronounced in FRDA patients with a larger genetic mutation (GAA1 repeats >600), earlier age of onset (<16years) and a shorter disease duration (<15 years). LV mass decreased with longer disease duration (>15 years), and independent of GAA1 repeat size and age of onset, suggesting cardiac thinning occurred with prolonged disease. Heart function was lower in patients with larger GAA1 repeat number and longer disease duration. Consequently, cardiac hypertrophy was more marked in FRDA patients with a larger GAA1 repeat number and younger age of onset, while prolonged disease duration was associated with lower LV mass and decreased heart function. It is important not only to understand the biochemical basis for these cardiac changes but also allow for these changes when assessing the effect of treatment of FRDA patients.
DOI: 10.1002/mds.22864
PubMed: 20461801
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pubmed:20461801Le document en format XML
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<front><div type="abstract" xml:lang="en">Friedreich's ataxia (FRDA) has been associated with both cardiac hypertrophy and to a lesser degree dilated cardiomyopathy. We have conducted a cross sectional magnetic resonance imaging (MRI) study of 25 patients with clinically and genetically confirmed FRDA and 24 healthy controls to analyse how disease parameters influence cardiac features in FRDA. MR cine imaging in the long and short axis planes was performed alongside clinical assessments. LV mass was most pronounced in FRDA patients with a larger genetic mutation (GAA1 repeats >600), earlier age of onset (<16years) and a shorter disease duration (<15 years). LV mass decreased with longer disease duration (>15 years), and independent of GAA1 repeat size and age of onset, suggesting cardiac thinning occurred with prolonged disease. Heart function was lower in patients with larger GAA1 repeat number and longer disease duration. Consequently, cardiac hypertrophy was more marked in FRDA patients with a larger GAA1 repeat number and younger age of onset, while prolonged disease duration was associated with lower LV mass and decreased heart function. It is important not only to understand the biochemical basis for these cardiac changes but also allow for these changes when assessing the effect of treatment of FRDA patients.</div>
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