From Transient Ischemic Attack to Acute Heart Failure: Unmasking Fabry Disease in a Young Woman with Hypertrophic Cardiomyopathy
S. EJJEBLI *
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
A. ALTIMIMI
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
A. BOULAHNACH
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
H. EJJEBLI
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
S. AROUS
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
M. HABOUB
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
A. DRIGHIL
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
R. HABBAL
Department of Cardiology, Ibn Rochd Hospital University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
We report the case of a 20-year-old woman admitted to the cardiology intensive care unit for acute heart failure. Initial evaluations suggested hypertrophic cardiomyopathy (HCM), but cardiac magnetic resonance imaging (MRI) revealed diffuse myocardial fibrosis and features consistent with Fabry disease. Despite optimal medical therapy, her condition deteriorated, culminating in atrial fibrillation and death. This case underscores the importance of considering Fabry disease in young patients presenting with unexplained cardiomyopathy.
Keywords: Fabry disease, hypertrophic cardiomyopathy, heart failure