The Relationship Between Carpal Tunnel Syndrome and Cardiac Involvement in Patients with Mucopolysaccharidosis

Banu Kadıoğlu Yılmaz; Melih Timuçin Doğan; Onur Bulut; Ahmet Sert; Hüseyin Yılmaz

Makale detayları

The Relationship Between Carpal Tunnel Syndrome and Cardiac Involvement in Patients with Mucopolysaccharidosis

Yazarlar:

Banu Kadıoğlu Yılmaz | Melih Timuçin Doğan | Onur Bulut | Ahmet Sert | Hüseyin Yılmaz

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.733-739

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330479

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 Background  Aims: Mucopolysaccharidoses MPSs are a group of progressive multisystemic diseases, and it is unknown whether there is a relationship between these system involvements. In this study, we aimed to investigate whether there is a relationship between cardiac involvement and carpal tunnel syndrome CTS in MPS patients. Methods: The study was conducted between May 12, 2023, and June 30, 2024, as a prospective study with a retrospective onset. Patients between the ages of 2 and 20 years who were diagnosed with MPS Types I, II, IV A, and VI enzymatically and genetically and who underwent electromyography for CTS screening and transthoracic echocardiography for cardiac involvement were included in the study. Results: Twenty-six MPS patients were included in the study. The mean age of the patients was 12858 months. There was cardiac involvement in 21 80.8 of the patients. Heart valve involvement was present in 20 76.9 patients. Our study found that 14 53.8 of our MPS patients had CTS. CTS was present in all patients in the MPS type I, II, and VI groups but not in any MPS type IV A patients. As a result of the statistical analysis, the presence of MPS Type IV A was statistically significantly higher in the group without CTS than in the group with CTS p0.001. The presence of cardiac involvement, combined involvement of the aortic and mitral valves, and the severity of heart valve involvement were found to be statistically significantly higher in the patient group with CTS than in the patient group without CTS p0.007, p0.005, p0.009, respectively. Conclusions: Our study found that CTS was more common in patients with cardiac involvement, especially heart valve involvement. We recommend that CTS screening be performed, especially in MPS patients with cardiac involvement.

 Background  Aims: Mucopolysaccharidoses MPSs are a group of progressive multisystemic diseases, and it is unknown whether there is a relationship between these system involvements. In this study, we aimed to investigate whether there is a relationship between cardiac involvement and carpal tunnel syndrome CTS in MPS patients. Methods: The study was conducted between May 12, 2023, and June 30, 2024, as a prospective study with a retrospective onset. Patients between the ages of 2 and 20 years who were diagnosed with MPS Types I, II, IV A, and VI enzymatically and genetically and who underwent electromyography for CTS screening and transthoracic echocardiography for cardiac involvement were included in the study. Results: Twenty-six MPS patients were included in the study. The mean age of the patients was 12858 months. There was cardiac involvement in 21 80.8 of the patients. Heart valve involvement was present in 20 76.9 patients. Our study found that 14 53.8 of our MPS patients had CTS. CTS was present in all patients in the MPS type I, II, and VI groups but not in any MPS type IV A patients. As a result of the statistical analysis, the presence of MPS Type IV A was statistically significantly higher in the group without CTS than in the group with CTS p0.001. The presence of cardiac involvement, combined involvement of the aortic and mitral valves, and the severity of heart valve involvement were found to be statistically significantly higher in the patient group with CTS than in the patient group without CTS p0.007, p0.005, p0.009, respectively. Conclusions: Our study found that CTS was more common in patients with cardiac involvement, especially heart valve involvement. We recommend that CTS screening be performed, especially in MPS patients with cardiac involvement.

 Background  Aims: Mucopolysaccharidoses MPSs are a group of progressive multisystemic diseases, and it is unknown whether there is a relationship between these system involvements. In this study, we aimed to investigate whether there is a relationship between cardiac involvement and carpal tunnel syndrome CTS in MPS patients. Methods: The study was conducted between May 12, 2023, and June 30, 2024, as a prospective study with a retrospective onset. Patients between the ages of 2 and 20 years who were diagnosed with MPS Types I, II, IV A, and VI enzymatically and genetically and who underwent electromyography for CTS screening and transthoracic echocardiography for cardiac involvement were included in the study. Results: Twenty-six MPS patients were included in the study. The mean age of the patients was 12858 months. There was cardiac involvement in 21 80.8 of the patients. Heart valve involvement was present in 20 76.9 patients. Our study found that 14 53.8 of our MPS patients had CTS. CTS was present in all patients in the MPS type I, II, and VI groups but not in any MPS type IV A patients. As a result of the statistical analysis, the presence of MPS Type IV A was statistically significantly higher in the group without CTS than in the group with CTS p0.001. The presence of cardiac involvement, combined involvement of the aortic and mitral valves, and the severity of heart valve involvement were found to be statistically significantly higher in the patient group with CTS than in the patient group without CTS p0.007, p0.005, p0.009, respectively. Conclusions: Our study found that CTS was more common in patients with cardiac involvement, especially heart valve involvement. We recommend that CTS screening be performed, especially in MPS patients with cardiac involvement.

 Giriş  Amaç: Mukopolisakkaridozlar MPS progresif, multisistemik tutulumla giden bir hastalık grubudur ve bu sistem tutulumları arasında bir ilişki olup olmadığı bilinmemektedir. Bu çalışmada, MPS hastalarında kardiyak tutulum ile karpal tünel sendromu KTS arasında ilişki olup olmadığını araştırmayı amaçladık. Yöntem: Çalışma, 12 Mayıs 2023 ile 30 Haziran 2024 tarihleri arasında, retrospektif başlangıçlı prospektif bir çalışma olarak gerçekleştirildi. MPS Tip I, II, IV A ve VI tanısı enzimatik ve genetik olarak konulmuş olan, KTS taraması için elektromiyografi ve kardiyak tutulum açısından transtorasik ekokardiyografi tetkiki yapılan 2-20 yaş arası hastalar çalışmaya alındı. Bulgular: Çalışmaya 26 MPS hastası dahil edildi. Hastaların yaş ortalamaları 12858 ay idi. Hastaların 21  80.8inde kardiyak tutulum mevcuttu. Kalp kapak tutulumu hastaların 20 76.9sinde mevcuttu. Çalışmamızda MPS hastalarımızın 14 53.8ünde KTS olduğunu tespit ettik. KTS, MPS tip I, II ve VI hastalarının tamamında vardı, MPS tip IV A hastalarının ise hiçbirinde yoktu. Yapılan istatistiksel analizler sonucunda, MPS Tip IV A olma durumu KTS olmayan grupta, KTS olan gruba göre istatistiksel olarak anlamlı derecede yüksekti p0.001. Kardiyak tutulum varlığı, aort ve mitral kapakların birlikte tutulumu ve kalp kapak tutulum şiddeti, KTS olan grupta KTS olmayan gruba göre istatistiksel olarak anlamlı derecede yüksek saptandı sırasıyla, p0.007, p0.005, p0.009. Sonuç: Çalışmamızda, kalp kapak tutulumu başta olmak üzere kardiyak tutulumu olan hastalarda KTSnin daha sık olduğunu bulduk. Özellikle kardiyak tutulumu olan MPS hastalarında KTS taramasının yapılması gerektiğini öneriyoruz.

Makale detayları

The Relationship Between Carpal Tunnel Syndrome and Cardiac Involvement in Patients with Mucopolysaccharidosis

Yazarlar:

Banu Kadıoğlu Yılmaz | Melih Timuçin Doğan | Onur Bulut | Ahmet Sert | Hüseyin Yılmaz

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.733-739

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330479

pISSN:

2602-3741

Mucopolysaccharidosis

carpal tunnel syndrome

heart valve involvement

cardiac involvementMukopolisakkaridoz

karpal tünel sendromu

kalp kapak tutulumu

kardiyak tutulum

Sayı

Makale detayları

Yazarlar: Banu Kadıoğlu Yılmaz | Melih Timuçin Doğan | Onur Bulut | Ahmet Sert | Hüseyin Yılmaz

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Genel Tıp Dergisi Vol.34 Issue 5, pp.733-739

Belge Tipi: Makale

Yayın Tarihi: 10/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001330479

pISSN: 2602-3741

Sayı

Yazarlar:

Banu Kadıoğlu Yılmaz | Melih Timuçin Doğan | Onur Bulut | Ahmet Sert | Hüseyin Yılmaz

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Genel Tıp Dergisi Vol.34 Issue 5, pp.733-739

Belge Tipi:

Makale

Yayın Tarihi:

10/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330479

pISSN:

2602-3741