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Heart 1998;79:619-621; doi:10.1136/hrt.79.6.619
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;79:619-621 ( June )

Case report

Cardiac involvement in proximal myotonic myopathy F von zur Mühlen,a C Klass,b H Kreuzer,a G Mall,c A Giese,d C D Reimerse

a Department of Cardiology, Georg-August-University, Göttingen, Germany, b Department of Nephrology and Rheumatology, Georg-August-University, c Department of Pathology, Municipal Hospital, Darmstadt, Germany, d Department of Neuropathology, Georg-August-University, e Department of Clinical Neurophysiology, Georg-August-University

Correspondence to: Dr C D Reimers, Abteilung für klinische Neurophysiologie, Georg-August-Universität, Robert-Koch-Strasse 40, D-37075 Göttingen, Germany. email: cd.reimers{at}med.uni-goettingen.de

Accepted for publication 19 February 1998

Proximal myotonic myopathy (PROMM) is a recently described autosomal dominantly inherited disorder resulting in proximal muscle weakness, myotonia, and cataracts. A few patients with cardiac involvement (sinus bradycardia, supraventricular bigeminy, conduction abnormalities) have been reported. The cases of three relatives with PROMM (weakness of neck flexors and proximal extremity muscles, calf hypertrophy, myotonia, cataracts) are reported: a 54 year old man, his 73 year old mother, and 66 year old aunt. All three presented with conduction abnormalities and one had repeated, life threatening, sustained monomorphic ventricular tachycardia. This illustrates that severe cardiac involvement may occur in PROMM.

Keywords: proximal myotonic myopathy;  cardiomyopathy;  ventricular tachycardia;  genetic disorders


© 1998 by Heart

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