PMID- 32499120 OWN - NLM STAT- MEDLINE DCOM- 20210330 LR - 20210330 IS - 1365-229X (Electronic) IS - 0009-9260 (Linking) VI - 75 IP - 9 DP - 2020 Sep TI - Clinical features and cardiovascular magnetic resonance characteristics in Danon disease. PG - 712.e1-712.e11 LID - S0009-9260(20)30168-9 [pii] LID - 10.1016/j.crad.2020.04.012 [doi] AB - AIMS: To investigate the clinical spectrum, cardiovascular magnetic resonance imaging (cMRI) characteristics, including T1 and extracellular volume fraction, and outcomes of Danon disease to facilitate further understanding of the phenotype of patients with Danon disease. MATERIALS AND METHODS: The study comprised six male patients 8-23 years old recruited to the study between 2014-2019. The clinical presentation, laboratory examinations, pathology/genetic analysis, electrocardiography (ECG), echocardiography, and cCMRI characteristics were summarised. RESULTS: Five out of six patients suffered from hypertrophic cardiomyopathy (HCM) phenotype of Danon disease, while one patient had dilated cardiomyopathy (DCM) phenotype. Left ventricular (LV) and left atrial (LA) function were impaired at strain measurement. Diffuse and focal late gadolinium enhancement (LGE) were observed separately in the LV walls of three patients and right ventricular (RV) insertion points of the remaining three patients. Furthermore, values for the native T1 (mean 1313.3 ms) and extracellular volume fraction (ECV; mean 39.17%) of three patients were increased. CONCLUSIONS: Both dilated and hypertrophic cardiomyopathy may be the phenotypes of Danon disease. Comprehensive cCMRI played a unique role in the diagnosis and grading severity and risk factors of Danon disease in vivo, especially by using robust quantitative strain analysis, T1 mapping, and further ECV calculation. CI - Copyright (c) 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. FAU - He, J AU - He J AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Xu, J AU - Xu J AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Chen, L AU - Chen L AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Ji, K AU - Ji K AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Fan, X AU - Fan X AD - Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhao, S AU - Zhao S AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address: cjr_zhaoshihua@163.com. FAU - Lu, M AU - Lu M AD - Department of Magnetic Resonance Imaging, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; Key Laboratory of Cardiovascular Imaging (Cultivation), Chinese Academy of Medical Sciences, Beijing 100037, China. Electronic address: coolkan@163.com. LA - eng PT - Journal Article DEP - 20200601 PL - England TA - Clin Radiol JT - Clinical radiology JID - 1306016 SB - IM MH - Adolescent MH - Child MH - Glycogen Storage Disease Type IIb/*diagnosis/physiopathology MH - Heart Ventricles/*diagnostic imaging/physiopathology MH - Humans MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - Reproducibility of Results MH - Retrospective Studies MH - Ventricular Function, Left/*physiology MH - Young Adult EDAT- 2020/06/06 06:00 MHDA- 2021/03/31 06:00 CRDT- 2020/06/06 06:00 PHST- 2019/07/12 00:00 [received] PHST- 2020/04/23 00:00 [accepted] PHST- 2020/06/06 06:00 [pubmed] PHST- 2021/03/31 06:00 [medline] PHST- 2020/06/06 06:00 [entrez] AID - S0009-9260(20)30168-9 [pii] AID - 10.1016/j.crad.2020.04.012 [doi] PST - ppublish SO - Clin Radiol. 2020 Sep;75(9):712.e1-712.e11. doi: 10.1016/j.crad.2020.04.012. Epub 2020 Jun 1.