A Case of a 50-Year-Old Woman with Typical Fabry Disease Who Showed Serial Electrocardiographic and Echocardiographic Changes over a 17-Year Period

Table 1

Hospitalization history between 2003 and 2010.

Year	Age	Symptoms	Evaluation
2003	37	Palpitation and chest discomfort	ECG: a normal PR interval (160 ms) and LVH (36 mm) by the Sokolow criteria with T wave inversion on V4-6 (Figure 1(b)); Thyroid function test: normal; Transthoracic echocardiography (TTE): concentric LVH; Treadmill test: normal; 24-hour Holter monitoring: normal
2007	41	Palpitation and chest discomfort	ECG: LVH (38 mm) by the Sokolow-Lyon index but a normal PR interval (160 ms) (Figure 1(c)); 24-hour Holter monitoring: normal; Myocardial stress single-photon emission computed tomography: normal
2008	42	Palpitation and chest discomfort	ECG: a short PR interval (120 ms) and marked LVH (47 mm) by the Sokolow-Lyon index (Figure 1(d)); Coronary angiography: myocardial bridging in the mid portion of the left anterior descending artery
2010	44	Palpitation and chest discomfort	ECG: a short PR interval (120 ms) and marked LVH (46 ms) by the Sokolow-Lyon index (Figure 1(e)); TTE: concentric LVH (Figures 2(a) and 2(b))

ECG: electrocardiography; LVH: left ventricular hypertrophy.