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31 October 2012

Increased dispersion of ventricular repolarization in Emery-Dreifuss muscular dystrophy patients

Vincenzo RussoADEF, Anna RagoBCE, Luisa PolitanoADF, Andrea Antonio PapaBC, Federica Di MeoBC, Maria Giovanna RussoG, Paolo GolinoG, Raffaele CalabròG, Gerardo NigroADFG

DOI: 10.12659/MSM.883541

Med Sci Monit 2012; 18(11): CR643-647

Abstract

BACKGROUND: Sudden cardiac death (SCD) is common in patients with Emery-Dreifuss muscular dystrophy (EDMD) and is attributed to the development of life-threatening arrhythmias that occur in the presence of normal left ventricular systolic function. Heterogeneity of ventricular repolarization is considered to provide an electrophysiological substrate for malignant arrhythmias. QTc dispersion (QTc-D) and JTc dispersion (JTc-D) are electrocardiographic parameters indicative of heterogeneity of ventricular repolarization. The aim of our study was to evaluate the heterogeneity of ventricular repolarization in patients with Emery-Dreifuss muscular dystrophy with preserved systolic and diastolic cardiac function     

MATERIAL AND METHODS: The study involved 36 EDMD patients (age 20±12, 26 M) and 36 healthy subjects used as controls, matched for age and sex. Heart rate, QRS duration, maximum and minimum QT and JT interval, QTc-D and JTc-D measurements were performed.    

RESULTS:  Compared to the healthy control group, the EDMD group presented increased values of QTc-D (82.7±44.2 vs. 53.1±13.7; P=0,003) and JTc-D (73.6±32.3 vs. 60.4±11.1 ms; P=0.001). No correlation between QTc dispersion and ejection fraction (R=0.2, P=0.3) was found.    

CONCLUSIONS: Our study showed a significant increase of QTc-D and JTc-D in Emery-Dreifuss muscular dystrophy patients with preserved systolic and diastolic cardiac function.

Keywords: Muscular Dystrophy, Emery-Dreifuss - ultrasonography, Heart Ventricles - physiopathology, Electrocardiography, Case-Control Studies, Ventricular Function - physiology, young adult

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