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. 2022 Sep 25;36(11):986–997. doi: 10.1007/s12149-022-01787-9

Table 1.

Diagnostic criteria for triglyceride deposit cardiomyovasculopathy (2020)

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