Duchenne muscular dystrophy (DMD): cardiac management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Duchenne muscular dystrophy (DMD): cardiac management. Routine biannual cardiac surveillance: from age 10 years. Fully referenced neurology checklist.

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

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Holter ECG monitoring: indications

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Electrocardiogram (ECG) features

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Echocardiogram features

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Cardiac magnetic resonance imaging (MRI) features

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Cardiac treatments

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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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