COMPREHENSIVE CARDIOVASCULAR THERAPY IN EMERY-DREIFUSS MUSCULAR DYSTROPHY: A CASE REPORT.
Wiad Lek
; 76(11): 2531-2534, 2023.
Article
in En
| MEDLINE
| ID: mdl-38112376
ABSTRACT
A 25-year-old male with known EDMD was referred for the cardiology consultation due to symptoms of heart failure. Echocardiography showed decrease left ventricular ejection fraction (LVEF) and therapy with ramipril, torsemide and rivaroxaban was initiated. Despite initial improvement, the patient later developed presyncope, bradycardia, irregular heartbeat and worsening of dyspnea. Therefore, implantation of resynchronization pacemaker with the function of implantable cardioverter-defibrillator (CRT-D/P) was performed. Ramipril was substituted by sacubitril/valsartan, and mineralocorticoid receptor antagonist and beta-blocker were initiated. Genetic testing found AD mutation in lamin A/C gene LMNA c.746G>A, p.(Arg249Gln). Upon follow-up, the patient demonstrated resolution of dyspnea and reverse remodeling of the left ventricle with complete restoration of the LVEF.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ramipril
/
Muscular Dystrophy, Emery-Dreifuss
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Wiad Lek
Journal subject:
MEDICINA
Year:
2023
Document type:
Article
Affiliation country: