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Table 2 Cardiac symptoms and laboratory findings of patients with Wilson Disease

From: The impact of Wilson disease on myocardial tissue and function: a cardiovascular magnetic resonance study

Questionnaire cardiac-related symptoms

WD (n = 76)

WD-neuro− (n = 43)

WD-neuro+ (n = 33)a

p

Dyspnea

12%

5%

23%

 < 0.05

NYHA class

1 (1–1)

1 (1–1)

1 (1–2)

0.06

Chest pain (atypical)

7%

2%

13%

0.07

Peripheral edema

12%

9%

16%

0.38

Palpitations

13%

14%

13%

0.90

Dizziness

24%

16%

35%

0.06

Loss of consciousness

15%

10%

29%

0.08

Laboratory Values

NT-proBNP (< 125 ng/l)

113 ± 121

122 ± 138

100 ± 94

0.53

Creatinine (0.5–0.9 mg/dl)

0.7 ± 0.1

0.7 ± 0.2

0.7 ± 0.1

0.41

eGFR (> 60 ml/min/1.73m2)

114 ± 16

114 ± 16

113 ± 16

0.81

Urea (< 45 mg/dl)

28 ± 8

27 ± 7

29 ± 8

0.25

AST (< 37U/l)

37 ± 19

37 ± 20

36 ± 16.3

0.72

ALT (< 35U/l)

53 ± 44

57 ± 44

48 ± 44

0.38

LDH (< 264U/l)

208 ± 45

208 ± 46

208 ± 465.7

0.96

ALP (55–105U/l)

93 ± 35

92 ± 39

95 ± 30

0.74

Total bilirubin (< 1 mg/dl)

0.97 ± 0.7

0.97 ± 0.6

0.98 ± 0.9

0.96

Direct bilirubin (< 0.3 mg/dl)

0.3 ± 0.2

0.3 ± 0.2

0.3 ± 0.2

0.63

Iron (12–27 µmol/l)

16 ± 7

16 ± 8

15 ± 6

0.46

Ferritin (20–120 µg/l)

153 ± 152

152 ± 153

154 ± 153

0.98

Ceruloplasmin (0.2–0.6 ng/l)

0.1 ± 0.05

0.1 ± 0.05

0.1 ± 0.05

0.99

Copper, serum levels (12–24 µmol/l)

5.6 ± 3.5

5.7 ± 3.6

5.6 ± 3.3

0.87

Zinc, serum levels (9–18 µmol/l)

16 ± 7

17 ± 7

15 ± 6

0.26

Non-ceruloplasmin-bound copper (µmol/l)

1.8 ± 1.5

1.8 ± 1.4

1.8 ± 1.8

0.97

Copper, urine levels (0.06–1.26 µmol/l)

1.5 (0.8–2.9)

1.3 (0.6–2.7)

1.5 (0.9–5.2)

0.24

Copper, 24-h urine (< 0.94 µmol/d)

2.6 (1.3–6.0)

2.60 (1.0–5.3)

2.9 (1.3–6.3)

0.36

Zinc, urine levels (2.8–13.0 µmol/l)

14.1 ± 13.2

11.9 ± 11.0

17.0 ± 15.3

0.09

Zinc, 24-h urine (2.3–18.4 µmol/d)

25.6 ± 28.1

23.5 ± 21.3

28.3 ± 35.1

0.48

  1. Cardiac-related symptoms according to questionnaire and laboratory findings of Wilson Disease (WD) patients, WD patients without (WD-neuro−) and with neurological symptoms (WD-neuro+): eGFR, estimated glomerular filtration rate; AST, aspartate transaminase; ALT, alanine transaminase; LDH, lactate dehydrogenase; ALP, alkaline phosphatase; NT-proBNP, N-terminal pro B-type Natriuretic Peptide. Values are mean ± SD, median (interquartile range) or n (%). Differences between groups were calculated using t-test or Mann–Whitney U test
  2. aNeurological symptoms: tremor (n = 17), dysarthria (n = 12), difficulty swallowing (n = 8), autonomic dysfunction (n = 8), unsteady gait (n = 8), dysgraphia (n = 7), ataxia (n = 6), bradykinesia (n = 6), dystonia (n = 5), rigor (n = 2), disturbance of coordination (n = 1), impaired balance (n = 1) and chorea (n = 1)