期刊
JOURNAL OF NEUROLOGY
卷 253, 期 10, 页码 1317-1322出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00415-006-0213-0
关键词
fukutin-related protein; limb-girdle muscular dystrophy (LGMD); cardiac involvement; cardiovascular magnetic resonance imaging
Background The C826A mutation in the fukutin-related protein (FKRP) gene is typically associated with autosomal recessive limb-girdle muscular dystrophy 2I (LGMD2I) but oligosymptomatic phenotypes and patients with predominant cardiac involvement are also described. Objective To assess cardiac involvement in patients with LGMD2I. Methods Nine patients from 5 families (2 female, 7 male) homozygous for the 826C > A FKRP mutation were included. Patients Additional to conventional cardiac investigations (electrocardiography and echocardiography) the patients underwent cardiovascular magnetic resonance imaging (CMR). Results/Conclusion Cardiac involvement was detected by CMR in eight of nine patients (reduced left ventricular ejection fraction in 6, enlargement of left ventricular end-diastolic volume in 2 and left ventricular mass in 2) and in four patients by conventional cardiac diagnostic investigations. Two of the nine patients showed no muscle weakness or atrophy but suffered myalgias; both had cardiac manifestation of the disease. CMR is a sensitive method for detecting cardiac abnormalities in patients with LGMD2I and can be used for early detection of mild or subclinical cardiac involvement.
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