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University","award":["ldyyyn2021-115"],"award-info":[{"award-number":["ldyyyn2021-115"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>The cardiac variant of Fabry disease (FD) has high rates of missed diagnosis and misdiagnosis due to the lack of systemic symptoms. Here, we report a case of a 68-year-old female with delayed-onset FD presenting as concentric left ventricular hypertrophy (LVH) with right bundle branch block, atrial fibrillation, and diastolic dysfunction, which was first presented with coronary artery spasm. Early cardiac-specific signs are crucial for diagnosing this disease due to the lack of extracardiac indications and the late onset of symptoms. This case raises a new red flag that patients with unexplained LVH and its atypical electrocardiographic (ECG) manifestations accompanied by diastolic dysfunction should be considered for FD. We also recommend further refinement of examinations associated with Fabry disease, which will contribute to the early diagnosis and treatment of the disease.<\/jats:p>","DOI":"10.3390\/jcdd10090389","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:09:21Z","timestamp":1694423361000},"page":"389","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Unexplained Left Ventricular Hypertrophy Diagnosed as a Cardiac Variant of Late-Onset Fabry Disease: A Case Report"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3336-9849","authenticated-orcid":false,"given":"Maomao","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaowei","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5349-4696","authenticated-orcid":false,"given":"Yinchang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongling","family":"Wa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junchu","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kang","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, First Hospital of Lanzhou University, Lanzhou University, Lanzhou 730030, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.ymgme.2018.02.014","article-title":"Fabry Disease Revisited: Management and Treatment Recommendations for Adult Patients","volume":"123","author":"Ortiz","year":"2018","journal-title":"Mol. 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