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. 2021 Apr 23;22(9):4434. doi: 10.3390/ijms22094434

Table 3.

Frequency of dysrhythmias and cardiac conduction disorders in FD.

Cardiac Manifestations Frequencies References
Palpitations
  • 15.3% in untreated males

  • 21.3% in untreated females

  • Linhart et al. [34]

Syncope
  • 5.6% in untreated males

  • 2.4% in untreated females

  • Linhart et al. [34]

Short PR interval
  • 14% of patients

  • Namdar et al. [108]

Bradycardia
  • 72% of patients

  • Lobo et al. [112]

Bradyarrhythmic events
  • 23% of patients

  • Di et al. [114]

PR interval > 200 ms
  • 3% of patients

  • O’Mahony et al. [111]

QRS duration > 120 ms
  • 9% of patients

  • O’Mahony et al. [111]

Right bundle branch block In late-onset phenotype with predominant cardiac involvement
  • 38.8% of males

Mean age at diagnosis of 61 ± 6 years
  • 8.5% of females

Mean age at diagnosis of 76 ± 9 years
  • Azevedo et al. [5]

Left anterior fascicular block In late-onset phenotype with predominant cardiac involvement
  • 45.5% of males

Mean age at diagnosis of 60 ± 7 years
  • 10.3% of females

Mean age at diagnosis of 72 ± 14 years
  • Azevedo et al. [5]

Bifascicular block In late-onset phenotype with predominant cardiac involvement
  • 25.3% of males

Mean age at diagnosis of 62 ± 6 years
  • 5.7% of females

Mean age at diagnosis of 78 ± 6 years
  • Azevedo et al. [5]

Complete AV block In late-onset phenotype with predominant cardiac involvement
  • 12.7% of males

Mean age at diagnosis of 60 ± 7 years
  • 1.6% of females

Mean age at diagnosis of 79 ± 6 years
  • Azevedo et al. [5]

Atrial Fibrillation
  • 3% of patients

  • O’Mahony et al. [111]

  • 3.9% of patients had persistent atrial fibrillation

  • 13.3% of patients had paroxysmal atrial fibrillation

  • Shah et al. [98]

  • Annual incidence: 1 per 100 person-years

  • Patel et al. [100]

In late-onset phenotype with predominant cardiac involvement
  • 7.6% of males

Mean age at diagnosis of 67 ± 11 years
  • 2.4% of females

Mean age at diagnosis of 77 ± 3 years
  • Azevedo et al. [5]

Atrial Flutter In late-onset phenotype with predominant cardiac involvement
  • 2.5% of males

  • 0.8% of females

  • Azevedo et al. [5]

Ventricular Arrhythmias
  • 13% in males

  • 20% in females

  • Pinderski et al. [116]

  • Non-sustained VT in 8.3% of patients during 1.9 years of follow-up (n = 78)

  • Shah et al. [98]

  • Non-sustained VT in 21% of patients

  • Sustained VT in 1% of patients

(Median follow-up of 36 months)
  • Hanneman et al. [117]

Systematic review of the literature
  • VT in 15.3% of the patients

  • Baig et al. [67]

In late-onset phenotype with predominant cardiac involvement
  • Non-sustained VT in 14.1% of males

Mean age at diagnosis of 57 ± 8 years
  • Non-sustained VT in 5.6% of females

Mean age at diagnosis of 70 ± 6 years
  • Azevedo et al. [5]

SCD
  • SCD in 1 patient during 1.9 years of follow-up (n = 78)

  • Shah et al. [98]

  • VF in 1 patient in the setting of multiorgan failure during mean follow-up of 53 months (n = 19)

  • Acharya et al. [125]

Systematic review of the literature
  • 62% of cardiac deaths are sudden

  • Incidence of SCD events: 0.34–1.4% per annum

  • Baig et al. [67]

Cardiac device
  • Annual incidence: 1.9 per person-years

  • Sené et al. [123]

  • Annual incidence of devices for the treatment of bradycardia (pacemaker/ICD): 1.07 per person-years

  • Patel et al. [100]

Pacemaker
  • 12.5% of patients

  • Sené et al. [123]

  • 5-year incidence: 8%

  • O’Mahony [111]

In late-onset phenotype with predominant cardiac involvement
  • 12.7% in males

Mean survival free from pacemaker: 71 ± 2
  • 2.4% in females

Mean survival free from pacemaker: 86 ± 1
  • Azevedo et al. [5]

ICD
  • 4.2% of patients

  • Sené et al. [123]

In late-onset phenotype with predominant cardiac involvement
  • 1.3% in males

  • 0.8% in females

  • Azevedo et al. [5]

AV, atrioventricular; ICD, implantable cardioverter-defibrillator; SCD, sudden cardiac death; VF, ventricular fibrillation; VT, ventricular tachycardia.