Fabry cardiomyopathy presenting with a high defibrillation threshold: A short case report

J Arrhythm. 2015 Jun;31(3):170-1. doi: 10.1016/j.joa.2014.10.002. Epub 2014 Dec 2.

Abstract

Fabry disease is an X-linked recessive glycosphingolipid storage disorder caused by a deficiency of lysosomal enzyme α-galactosidase A. It is recognized that Fabry disease patients often have ventricular arrhythmias. Although the effectiveness of implantable cardioverter-defibrillator (ICD) therapy in patients with ventricular fibrillation is established, there is little evidence regarding ICD therapy for Fabry disease. Here, we report the case of patient with Fabry disease who was treated with an ICD and presented with high defibrillation thresholds.

Keywords: Fabry disease; High defibrillation thresholds; Implantable cardioverter-defibrillator; Ventricular fibrillation.