Progress in Pediatric Cardiology
Volume 25, Issue 1 , Pages 69-78, April 2008

Pediatric cardiomyopathies related to fatty acid metabolism

  • Kevin D. Hill

      Affiliations

    • Division of Cardiology, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA
  • ,
  • Rizwan Hamid

      Affiliations

    • Medical Genetics, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA
  • ,
  • Vernat J. Exil

      Affiliations

    • Division of Cardiology, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA
    • Corresponding Author InformationCorresponding author. Vanderbilt Children's Hospital, Division of Pediatric Cardiology, Vanderbilt Heart-Center for Inherited Heart Disease, 2200 Children’s Way, 5230 DOT. Nashville, TN 37232-9119 USA. Tel.: +1 615 322 7447; fax: +1 615 322 2210.

Abstract 

Inborn errors of metabolism affecting the fatty acid ß-oxidation pathway lead to cardiomyopathy, arrhythmia, and sudden death. In this article, an overview of the clinical presentations, diagnosis, treatment, and long-term outcome is provided with an emphasis on cardiovascular manifestations. With the expanded newborn screening program, these patients are coming to clinical attention earlier and the opportunity for pre-symptomatic intervention exists. It is important that clinicians are familiar with the clinical presentation, diagnostic evaluation, and management of this clinically heterogeneous group of disorders.

Keywords: Fatty acid oxidation, Metabolism, Arrythmia, Cardimyopathy

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PII: S1058-9813(07)00169-5

doi:10.1016/j.ppedcard.2007.11.007

Progress in Pediatric Cardiology
Volume 25, Issue 1 , Pages 69-78, April 2008