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Heart and Turner syndrome
Annales d'Endocrinologie ( IF 3.1 ) Pub Date : 2020-12-08 , DOI: 10.1016/j.ando.2020.12.004
Bruno Donadille 1 , Sophie Christin-Maitre 1
Affiliation  

Turner syndrome (TS) is a rare disease (ORPHA #881) which affects about 50 in 100 000 newborn girls. Their karyotype shows a complete or partial loss of the second X chromosome. In TS, congenital cardiovascular malformations, such as bicuspid aortic valves and aortic coarctation are frequent, affecting 20-30% and 7-18% of the TS population, respectively. The morbidity and mortality of these patients are high and related to the presence of hypertension and/or aortic dilatation (40%), inducing aortic dissection. European guidelines published in 2017 have indicated how to monitor patients using magnetic resonance imaging (MRI) and/or echography. Different studies have shown that a cardiovascular lifelong follow-up is necessary and therefore education of patients with TS and their families represents a major issue. This review will present recent data concerning the progression of aortic diameters as well as current molecular knowledge of the cardiovascular system in patients with TS.



中文翻译:

心脏和特纳综合征

特纳综合征 (TS) 是一种罕见疾病 (ORPHA #881),每 10 万名新生儿中就有 50 人受到影响。他们的核型显示第二条 X 染色体完全或部分丢失。在 TS 中,先天性心血管畸形,例如二叶式主动脉瓣和主动脉缩窄很常见,分别影响 20-30% 和 7-18% 的 TS 人群。这些患者的发病率和死亡率很高,并且与高血压和/或主动脉扩张 (40%) 的存在有关,导致主动脉夹层。2017 年发布的欧洲指南指出了如何使用磁共振成像 (MRI) 和/或超声成像来监测患者。不同的研究表明,心血管终生随访是必要的,因此对 TS 患者及其家人的教育是一个主要问题。

更新日期:2020-12-08
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