Duchenne muscular dystrophy (DMD): cardiac management

Evidence-based neurology checklist on duchenne muscular dystrophy (dmd): cardiac management: Cardiac monitoring guidelines Routine biannual cardiac surveillance: from age 10 years Heightened cardiac surveillance: if the patient is on steroids Periodic Holter monitoring: if there is cardiac…

Cardiac monitoring guidelines

  • Routine biannual cardiac surveillance: from age 10 years
  • Heightened cardiac surveillance: if the patient is on steroids
  • Periodic Holter monitoring: if there is cardiac dysfunction
  • Refer to a cardiologist with interest in DMD

Annual cardiac monitoring tests

Holter ECG monitoring: indications

Electrocardiogram (ECG) features

Echocardiogram features

Cardiac magnetic resonance imaging (MRI) features

Cardiac treatments

References

  1. Birnkrant DJ, Bushby K, Bann CM, et al. Diagnosis and management of Duchenne muscular dystrophy, part 2: respiratory, cardiac, bone health, and orthopaedic management. Lancet Neurol 2018; 17:347-361.
  2. American Academy of Pediatrics Section on Cardiology and Cardiac Surgery. Cardiovascular health supervision for individuals affected by Duchenne or Becker muscular dystrophy. Paediatrics 2005; 116:1569-1573.
  3. Finder JD, Birnkrant D, Carl J, et al. Respiratory care of the patient with Duchenne muscular dystrophy. ATS consensus statement. Am J Respir Crit Care Med 2004; 170: 456-465.
  4. Bushby K, Finkel R, Birnkrant DJ, et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management. Lancet Neurol 2010; 9:77-93.
  5. Yilmaz A, Sechtem U. Cardiac involvement in muscular dystrophy: advances in diagnosis and therapy. Heart 2012; 98:420-429.
  6. And 3 more. Subscribe to see the full list

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