학술논문

Cardiopulmonary dysfunction in patients with limb-girdle muscular dystrophy 2A.
Document Type
Journal Article
Source
Muscle & Nerve. Apr2017, Vol. 55 Issue 4, p465-469. 5p.
Subject
*ELECTROCARDIOGRAPHY
*MUSCLE proteins
*MUSCULAR dystrophy
*GENETIC mutation
*CARDIOMYOPATHIES
*PROTEOLYTIC enzymes
*RESPIRATORY measurements
*RESPIRATORY insufficiency
*RETROSPECTIVE studies
*DISEASE complications
Language
ISSN
0148-639X
Abstract
Introduction: Little is known about the frequency of cardiopulmonary failure in limb-girdle muscular dystrophy type 2A (calpainopathy) patients, although some studies have reported severe cardiomyopathy or respiratory failure.Methods: To clarify the frequency of cardiopulmonary dysfunction in this patient population, we retrospectively reviewed the respiratory and cardiac function of 43 patients with calpainopathy.Results: Nine of the 43 patients had forced vital capacity (FVC) < 80%, and 3 used noninvasive positive pressure ventilation. Mean FVC was significantly lower in patients who were nonambulant and had normal creatine kinase levels. Only 1 patient had a prolonged QRS complex duration. Echocardiography revealed that 1 patient had very mild left ventricular dysfunction.Conclusions: These findings suggest that patients with calpainopathy may develop severe respiratory failure, but cardiac dysfunction is infrequent. Muscle Nerve 55: 465-469, 2017. [ABSTRACT FROM AUTHOR]