Focal Reduction in Cardiac <sup>123</sup>I-Metaiodobenzylguanidine Uptake in Patients With Anderson-Fabry Disease
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- Yamamoto Saori
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Suzuki Hideaki
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Sugimura Koichiro
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Tatebe Shunsuke
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Aoki Tatsuo
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Miura Masanobu
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Yaoita Nobuhiro
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Sato Haruka
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Kozu Katuya
- Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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- Ota Hideki
- Department of Radiology, Tohoku University Graduate School of Medicine
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- Takanami Kentaro
- Department of Radiology, Tohoku University Graduate School of Medicine
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- Takase Kei
- Department of Radiology, Tohoku University Graduate School of Medicine
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- 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
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- Circulation Journal
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Circulation Journal 80 (12), 2550-2551, 2016
The Japanese Circulation Society