Risk factors for ischaemic stroke in myotonic dystrophy type 1

被引:2
作者
David, Varga [1 ]
Brigitta, Perecz [1 ]
Andrea, Sipos [1 ]
Dalma, Jedlicska [3 ]
Endre, Pal [1 ,2 ]
机构
[1] Pecsi Tud Egyet, Altalanos Orvostudomanyi Kar, Neurol Klin, Pecs, Hungary
[2] Pecsi Tud Egyet, Patol Int, Altalan Orvostudomanyi Kar, Neuropatol Tanszek, Pecs, Hungary
[3] Pecsi Tud Egyet, Alapellatasi Int, Altalan Orvostudomanyi Kar, Csaladorvostani Tanszek, Pecs, Hungary
关键词
myotonic dystrophy; stroke; arrhythmia; MANIFESTATIONS; FREQUENCY; PATIENT;
D O I
10.1556/650.2022.32620
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Myotonic dystrophy is one of the most common autosomal dominant inherited muscular diseases. In both subtypes, not only the musculoskeletal system but other organs are also affected as a result of mis-splicing of several messenger RNAs leading to the production of dysfunctional proteins. Cataract, reduced pulmonary capacity, rhythm disorders, glucose intolerance, dyslipidaemia, endocrinopathies and cognitive impairment are also obtained in patients with myotonic dystrophy.Objective: We aimed to assess the risk factors of ischaemic stroke in our patients.Method: After a detailed review of the patients' medical history, laboratory and clinical tests and a carotid ultrasound examination were performed.Results: We found atherogenic dyslipidaemia, high risk of cardiogenicembolism, and normal carotid artery intimal media thickness.Discussion: Our result can suggest the role of atrial fibrillation and other supraventricular rhythm disorders as impor-tant risk factors for ischemic stroke in patients with myotonic dystrophy.Conclusion: During the longitudinal follow-up of the patient population suffering from dystrophia myotonica type 1, special attention must also be paid to cardiology care.
引用
收藏
页码:1962 / 1966
页数:5
相关论文
共 18 条
[1]  
Bhardwaj Rishi R, 2010, Case Rep Gastroenterol, V4, P100
[2]   FREQUENCY OF CEREBRAL INFARCTION IN PATIENTS WITH INHERITED NEUROMUSCULAR DISEASES [J].
BILLER, J ;
IONASESCU, V ;
ZELLWEGER, H ;
ADAMS, HP ;
SCHULTZ, DT .
STROKE, 1987, 18 (04) :805-807
[3]   Loss of the muscle-specific chloride channel in type 1 myotonic dystrophy due to misregulated alternative splicing [J].
Charlet-B, N ;
Savkur, RS ;
Singh, G ;
Philips, AV ;
Grice, EA ;
Cooper, TA .
MOLECULAR CELL, 2002, 10 (01) :45-53
[4]   Myotonic dystrophy: Emerging mechanisms for DM1 and DM2 [J].
Cho, Diane H. ;
Tapscott, Stephen J. .
BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE, 2007, 1772 (02) :195-204
[5]   Electrocardiographic abnormalities and sudden death in myotonic dystrophy type 1 [J].
Groh, William J. ;
Groh, Miriam R. ;
Saha, Chandan ;
Kincaid, John C. ;
Simmons, Zachary ;
Ciafaloni, Emma ;
Pourmand, Rahman ;
Otten, Richard F. ;
Bhakta, Deepak ;
Nair, Girish V. ;
Marashdeh, Mohammad M. ;
Zipes, Douglas P. ;
Pascuzzi, Robert M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (25) :2688-2697
[6]   Defective mRNA in myotonic dystrophy accumulates at the periphery of nuclear splicing speckles [J].
Holt, Ian ;
Mittal, Saloni ;
Furling, Denis ;
Butler-Browne, Gillian S. ;
Brook, J. David ;
Morris, Glenn E. .
GENES TO CELLS, 2007, 12 (09) :1035-1048
[7]   Successful termination of ventricular arrhythmias with implantable cardioverter defibrillator in a patient with myotonic dystrophy [J].
Kupo, Peter ;
Fodi, Eszter ;
Debreceni, Dorottya ;
Pal, Endre ;
Faludi, Reka ;
Tenyi, Dalma ;
Molnar, Fanni ;
Lovadi, Emese ;
Varga, David ;
Simor, Tamas .
ORVOSI HETILAP, 2021, 162 (46) :1856-1858
[8]   Clinical and molecular aspects of the myotonic dystrophies: A review [J].
Machuca-Tzili, L ;
Brook, D ;
Hilton-Jones, D .
MUSCLE & NERVE, 2005, 32 (01) :1-18
[9]   A 10-year study of mortality in a cohort of patients with myotonic dystrophy [J].
Mathieu, J ;
Allard, P ;
Potvin, L ;
Prévost, C ;
Bégin, P .
NEUROLOGY, 1999, 52 (08) :1658-1662
[10]   Non-alcoholic fatty liver disease and type 2 diabetes mellitus [J].
Par Alajos ;
Wittmann Istvan ;
Par Gabriella .
ORVOSI HETILAP, 2022, 163 (21) :815-825