Focal Reduction in Cardiac <sup>123</sup>I-Metaiodobenzylguanidine Uptake in Patients With Anderson-Fabry Disease

  • Yamamoto Saori
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Suzuki Hideaki
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Sugimura Koichiro
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Tatebe Shunsuke
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Aoki Tatsuo
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Miura Masanobu
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Yaoita Nobuhiro
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Sato Haruka
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Kozu Katuya
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
  • Ota Hideki
    Department of Radiology, Tohoku University Graduate School of Medicine
  • Takanami Kentaro
    Department of Radiology, Tohoku University Graduate School of Medicine
  • Takase Kei
    Department of Radiology, Tohoku University Graduate School of Medicine
  • Shimokawa Hiroaki
    Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine

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Abstract

<p>Background:It remains to be elucidated whether cardiac sympathetic nervous activity is impaired in patients with Anderson-Fabry disease (AFD).</p><p>Methods and Results:We performed 123I-meta-iodobenzylguanidine (MIBG) scintigraphy and gadolinium-enhanced cardiovascular magnetic resonance (CMR) in 5 AFD patients. MIBG uptake in the inferolateral wall, where wall thinning and delayed enhancement were noted on CMR, was significantly lower compared with the anteroseptal wall. The localized reduction in MIBG uptake was also noted in 2 patients with no obvious abnormal findings on CMR.</p><p>Conclusions:Cardiac sympathetic nervous activity is impaired in AFD before development of structural myocardial abnormalities. (Circ J 2016; 80: 2550–2551)</p>

Journal

  • Circulation Journal

    Circulation Journal 80 (12), 2550-2551, 2016

    The Japanese Circulation Society

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