| Literature DB >> 28618061 |
Nikolaos Fragakis1, Melani Sotiriadou1, Lydia Krexi1, Vassilios Vassilikos1.
Abstract
We present a case of a young man with Duchenne muscular dystrophy cardiomyopathy (DMDC) having an implantable cardioverter defibrillator for secondary prevention, who presented with electrical storm shortly after β-blocker interruption. The patient was stabilized and remained free of ventricular arrhythmias soon after reinitiating b-adrenoreceptor antagonists. The present case highlights the importance of sympathetic blockage in patients with DMDC due to existing pathophysiology of excess diastolic Ca2+ leak from sarcoplasmic reticulum as a result of ryanodine receptor dysfunction.Entities:
Keywords: cardiomyopathy; duchenne muscular dystrophy; electrical storm; implantable cardioverter defibrillator; β-blocker
Mesh:
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Year: 2017 PMID: 28618061 PMCID: PMC6931609 DOI: 10.1111/anec.12477
Source DB: PubMed Journal: Ann Noninvasive Electrocardiol ISSN: 1082-720X Impact factor: 1.468