Document Detail

Atrial flutter and myotonic dystrophy in a male adolescent treated with radiofrequency catheter ablation.
MedLine Citation:
PMID:  17603429     Owner:  NLM     Status:  MEDLINE    
A variety of cardiomyopathies are due to familial disease. Most are primarily associated with cardiac involvement and can lead to hypertrophic, dilated, or restrictive cardiomyopathy. Myotonic dystrophy (MD) is a multisystem disease with autosomal dominant inheritance and variable penetrance. Cardiac diseases are important causes of morbidity and mortality in MD patients. Patients with primary MD should be carefully investigated with an electrocardiogram, stress test, and an echocardiogram to identify preclinical cardiac involvement and to prevent life-threatening complications. Any new onset of atrial flutter or atrial fibrillation in a young patient without any underlying cardiac abnormality should be investigated for underlying myopathy. The authors report on a male adolescent with MD who presented with atrial flutter. The patient had been diagnosed with MD at birth. He had an impaired ejection fraction of 38% to 45%. The patient described sharp chest pain in the retrosternal area, with no radiation, that was induced by exercise.
Ahmad Halawa; Said B Iskandar; Vipul Brahmbhatt; Stephen A Fahrig
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Reviews in cardiovascular medicine     Volume:  8     ISSN:  1530-6550     ISO Abbreviation:  Rev Cardiovasc Med     Publication Date:  2007  
Date Detail:
Created Date:  2007-07-02     Completed Date:  2007-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100960007     Medline TA:  Rev Cardiovasc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118-22     Citation Subset:  IM    
Division of Cardiology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee, USA.
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MeSH Terms
Atrial Flutter / diagnosis*,  etiology,  therapy
Catheter Ablation*
Chest Pain / diagnosis
Myotonic Dystrophy / complications,  diagnosis*,  genetics
Risk Factors
Stroke Volume

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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