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Late-onset multiple acyl-CoA dehydrogenase deficiency with cardiac syncope: A case report

Late-onset multiple acyl-CoA dehydrogenase deficiency with cardiac syncope: A case report

作     者:Xue-Qi Pan Xue-Li Chang Wei Zhang Hua-Xing Meng Jing Zhang Jia-Ying Shi Jun-Hong Guo 

作者机构:Department of Neurology Frist Hospital of Shanxi Medical University 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2020年第8卷第5期

页      面:995-1001页

核心收录:

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Late-onset multiple acyl-CoA dehydrogenase deficiency ETFDH Cardiac syncope Supraventricular tachycardia Mitochondrion Carnitine Case report 

摘      要:BACKGROUND Multiple acyl-CoA dehydrogenase deficiency(MADD)is an uncommon autosomal recessive disorder of mitochondrial fatty acid *** is a transient loss of consciousness due to acute global cerebral ***-onset MADD with syncope has not been reported *** SUMMARY We report a 17-year-old girl with exercise intolerance and muscle *** felt palpitation and shortness of breath after short bouts of *** also suffered from a transient loss of consciousness many *** biopsy showed lipid *** mutation analysis indicated a compound heterozygous mutation c.250GA(p.A84T)and c.872TG(p.V291G)in the ETFDH *** results of Holter electrocardiogram monitoring showed supraventricular tachycardia when the patient experienced a loss of *** treatment with riboflavin and carnitine,muscle weakness and palpitation symptoms improved *** loss of consciousness occurred,and the Holter electrocardiogram monitoring was *** Late-onset MADD with supraventricular tachycardia can cause cardiac *** and riboflavin supplement were beneficial for treating the late-onset MADD with cardiac *** should be paid to the prevention of cardiac syncope when diagnosing late-onset MADD.

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