Table 1.
Criteria | Clinical findings |
---|---|
Essential | Impaired LCFA metabolism or TG deposition in myocardium |
1. Decreased washout rate (< 10%) in myocardial 123I-BMIPP SPECT | |
2. Myocardial TG deposition by biopsy specimens | |
3. Myocardial TG deposition by CT or MR spectroscopy | |
Major | 1. Decreased left ventricular ejection fraction < 40% |
2. Diffuse narrowing of coronary arteries documented by CAG and/or coronary CT angiography | |
3. Typical Jordans anomaly (apparent vacuoles > 1 μm in size) of polymorphonuclear leucocytes in peripheral blood smears | |
Supportive | 1. Diabetes mellitus |
2. Hemodialysis |
Diagnosis Definite TGCV: Meets one or more essential criteria and one or more major criteria
Probable TGCV: Meets at least one essential criterion
123I-BMIPP, 123I-β-methyl iodophenyl-pentadecanoic acid; CAG coronary angiography, CT computed tomography, LCFA long chain fatty acid, MR magnetic resonance, SPECT single-photon emission computed tomography, TG triglyceride, TGCV triglyceride deposit cardiomyovasculopathy