Vericiguat improves cardiac function and microcirculation of a male patient with Fabry disease: A case report

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Bingyang Zhou, Ning Ren, Jie Geng
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Abstract

Fabry disease (FD) is a rare X chromosome-linked disorder and can be easily misdiagnosed. Here, we report the case of a 69-year-old male patient with FD who developed heart failure and showed extremely high pulmonary artery pressure. His initial symptom was recurrent atrial fibrillation. The left and right atrial inner diameters were large, and the ventricular wall was thick. Gene analysis which showed GLA c.215T>C p.Met72Thr mutation and single photon emission computed tomography indicated the diagnosis of FD with coronary microvascular dysfunction. The patient was prescribed anti-heart failure drugs, including vericiguat. Following the treatment, his heart function and microvascular perfusion significantly improved, which might be due to the beneficial effects of vericiguat.

Abstract Image

韦立克可改善一名男性法布里病患者的心脏功能和微循环:病例报告
法布里病(FD)是一种罕见的 X 染色体相关疾病,很容易被误诊。在此,我们报告了一例 69 岁的男性法布里病患者,他出现了心力衰竭,肺动脉压力极高。他最初的症状是反复心房颤动。左、右心房内径大,心室壁厚。基因分析显示 GLA c.215T>C p.Met72Thr 突变,单光子发射计算机断层扫描显示 FD 诊断为冠状动脉微血管功能障碍。患者接受了包括维力青在内的抗心衰药物治疗。治疗后,他的心脏功能和微血管灌注明显改善,这可能是由于维力青的有益作用。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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