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Heart transplant for dilated cardiomyopathy associated with
polymyositis
A Afzala, R S D Higginsb, E F Philbina
a Section of Heart
Failure and Cardiac Transplantation, Division of Cardiovascular
Medicine, Henry Ford Hospital, 2799 West Grand Blvd, Detroit MI 48202, USA, b Division
of Thoracic and Cardiac Surgery, Department of Surgery, Henry Ford
Hospital
Correspondence to: Dr Afzal.
Accepted for publication 10 May 1999
Cardiac involvement is one of the most significant factors in
the poor clinical outcome of polymyositis. The case of a 39 year old
African American woman with polymyositis, cardiomyopathy, and severe
heart failure who had orthotopic heart transplantation is described.
Review of the literature reveals that cardiac manifestations of
polymyositis are frequent and include conduction system abnormalities, myocarditis, cardiomyopathy, coronary artery atherosclerosis, valvar
disease, and pericardial abnormalities.
Keywords: polymyositis; cardiomyopathy; heart failure; heart transplantation
© 1999 by Heart
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