Myocardial deformation in the early diagnosis of subclinical disease in relatives of patients with genetic cardiomyopathy.

Authors

  • Gianluca De Toffol Servicio de Cardiología. Hospital Universitario de La Princesa. Madrid, España.
  • Alberto Cecconi Servicio de Cardiología. Hospital Universitario de La Princesa. Madrid, España.
  • Paloma Caballero Servicio de Radiología. Hospital Universitario de La Princesa. Madrid, España
  • Fernando Alfonso Servicio de Cardiología. Hospital Universitario de La Princesa. Madrid, España.
  • Luis Jesus Jimenez Borreguero Servicio de Cardiología. Hospital Universitario de La Princesa. Madrid, España.

DOI:

https://doi.org/10.37615/retic.v6n3a4

Keywords:

arrhythmogenic cardiomyopathy, family screening, myocardial deformation

Abstract

Familial screening for genetic cardiomyopathies in asymptomatic relatives of index cases, as well as early detection of disease expression in asymptomatic relatives carrying the mutation, can be a clinical challenge. In this scenario, myocardial deformation analysis by speckle tracking may reveal early signs of underlying subclinical disease in relatives of patients with dilated, arrhythmogenic or hypertrophic cardiomyopathy. We present the clinical case of an asymptomatic young woman, referred for family screening for heart disease, with normal ECG and conventional echocardiogram, where the study of myocardial deformation allowed an early diagnosis of the underlying heart disease.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Mondillo S, Galderisi M, Mele D, et al. Speckle-tracking echocardiography: a new technique for assessing myocardial function. J Ultrasound Med. 2011;30(1):71-83. https://doi.org/10.7863/jum.2011.30.1.71 DOI: https://doi.org/10.7863/jum.2011.30.1.71

Taha K, Kirkels FP, Teske AJ, et al. Echocardiographic Deformation Imaging for Early Detection of Genetic Cardiomyopathies: JACC Review Topic of the Week. J Am Coll Cardiol. 2022;79(6):594-608. https://doi.org/10.1016/j.jacc.2021.11.045 DOI: https://doi.org/10.1016/j.jacc.2021.11.045

Baudry G, Mansencal N, Reynaud A, et al. Global and regional echocardiographic strain to assess the early phase of hypertrophic cardiomyopathy due to sarcomeric mutations. Eur Heart J Cardiovasc Imaging. 2020;21(3):291-298. https://doi.org/10.1093/ehjci/jez084 DOI: https://doi.org/10.1093/ehjci/jez084

Verdonschot JAJ, Merken JJ, Brunner-La Rocca HP, et al. Value of Speckle Tracking-Based Deformation Analysis in Screening Relatives of Patients With Asymptomatic Dilated Cardiomyopathy. JACC Cardiovasc Imaging. 2020;13(2 Pt 2):549-558. https://doi.org/10.1016/j.jcmg.2019.02.032 DOI: https://doi.org/10.1016/j.jcmg.2019.02.032

Réant P, Hauer AD, Castelletti S, et al. Epicardial myocardial strain abnormalities may identify the earliest stages of arrhythmogenic cardiomyopathy. Int J Cardiovasc Imaging. 2016;32(4):593-601. https://doi.org/10.1007/s10554-015-0813-9 DOI: https://doi.org/10.1007/s10554-015-0813-9

van der Flier A, Sonnenberg A. Structural and functional aspects of filamins. Biochim Biophys Acta. 2001;1538(2-3):99-117. https://doi.org/10.1016/s0167-4889(01)00072-6 DOI: https://doi.org/10.1016/S0167-4889(01)00072-6

Ortiz-Genga MF, Cuenca S, Dal Ferro M, et al. Truncating FLNC Mutations Are Associated With High-Risk Dilated and Arrhythmogenic Cardiomyopathies. J Am Coll Cardiol. 2016;68(22):2440-2451. https://doi.org/10.1016/j.jacc.2016.09.927 DOI: https://doi.org/10.1016/j.jacc.2016.09.927

Published

2023-12-30

How to Cite

1.
De Toffol G, Cecconi A, Caballero P, Alfonso F, Jimenez Borreguero LJ. Myocardial deformation in the early diagnosis of subclinical disease in relatives of patients with genetic cardiomyopathy. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2023 Dec. 30 [cited 2024 Nov. 24];6(3):19-22. Available from: https://imagenretic.org/RevEcocarPract/article/view/632