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The conduction system in Pompe's disease

Identifieur interne : 003168 ( Main/Corpus ); précédent : 003167; suivant : 003169

The conduction system in Pompe's disease

Auteurs : Saroja Bharati ; Maria Serratto ; Ira Dubrow ; H. Paul ; Steven Swiryn ; A. Miller ; Kenneth Rosen ; Maurice Lev

Source :

RBID : ISTEX:3558E57E9350AF07DE010537747A698DC6B3BC0A

Abstract

Summary: We report our findings in the microscopic examination of the conduction system in four infants with glycogen storage disease, one of whom had adequate electrophysiologic studies. The electrophysiologic studies in the latter case showed P-A and A-H intervals at the lower limits of normal, but the H-V interval was just above the normal mean. This suggests that the rapid conduction was not localized in the anatomic counterpart of the H-V interval. The short P-R interval in the ECG may be related to the enlargement of cells, which may in turn be related to increased glycogen content. The relationship of glycogen per se to the speed of conduction is unknown. We found that the summit of the ventricular septum bulged, probably because of the generally increased cell size, and that the topography of the atrioventricular conducting system was different from normal. This is possibly related both to an increase in the cell sizes of the specialized conducting tissue itself and to deforming effects of this bulging summit of the ventricular septum. New microscopic details of the components of the conducting system are described in these cases.

Url:
DOI: 10.1007/BF02265613

Links to Exploration step

ISTEX:3558E57E9350AF07DE010537747A698DC6B3BC0A

Le document en format XML

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<mods:affiliation>Departments of Pathology and Pediatrics, Northwestern University Medical School, Chicago, Illinois</mods:affiliation>
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<mods:affiliation>Department of Pathology, University of Chicago Pritzker School of Medicine, Chicago, Illinois</mods:affiliation>
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<Para>We report our findings in the microscopic examination of the conduction system in four infants with glycogen storage disease, one of whom had adequate electrophysiologic studies. The electrophysiologic studies in the latter case showed P-A and A-H intervals at the lower limits of normal, but the H-V interval was just above the normal mean. This suggests that the rapid conduction was not localized in the anatomic counterpart of the H-V interval. The short P-R interval in the ECG may be related to the enlargement of cells, which may in turn be related to increased glycogen content. The relationship of glycogen per se to the speed of conduction is unknown.</Para>
<Para>We found that the summit of the ventricular septum bulged, probably because of the generally increased cell size, and that the topography of the atrioventricular conducting system was different from normal. This is possibly related both to an increase in the cell sizes of the specialized conducting tissue itself and to deforming effects of this bulging summit of the ventricular septum. New microscopic details of the components of the conducting system are described in these cases.</Para>
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<Keyword>Pompe's disease</Keyword>
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<SimplePara>Supported by grants HL 07605-17, 07387, 18794, and 23566 from the National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, Maryland. Dr. Lev is a career investigator and educator of the Chicago Heart Association.</SimplePara>
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<abstract lang="en">Summary: We report our findings in the microscopic examination of the conduction system in four infants with glycogen storage disease, one of whom had adequate electrophysiologic studies. The electrophysiologic studies in the latter case showed P-A and A-H intervals at the lower limits of normal, but the H-V interval was just above the normal mean. This suggests that the rapid conduction was not localized in the anatomic counterpart of the H-V interval. The short P-R interval in the ECG may be related to the enlargement of cells, which may in turn be related to increased glycogen content. The relationship of glycogen per se to the speed of conduction is unknown. We found that the summit of the ventricular septum bulged, probably because of the generally increased cell size, and that the topography of the atrioventricular conducting system was different from normal. This is possibly related both to an increase in the cell sizes of the specialized conducting tissue itself and to deforming effects of this bulging summit of the ventricular septum. New microscopic details of the components of the conducting system are described in these cases.</abstract>
<note>Supported by grants HL 07605-17, 07387, 18794, and 23566 from the National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, Maryland. Dr. Lev is a career investigator and educator of the Chicago Heart Association.</note>
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