Myotonic dystrophy type 2: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Myotonic dystrophy type 2: management. Bradycardia, Atrial tachycardia, fibrillation, and flutter. Fully referenced neurology checklist.
Electrocardiogram (ECG)
- Bradycardia
- Atrial tachycardia, fibrillation, and flutter
- Ventricular arrhythmias
- Prolonged PR interval
- Prolonged QRS duration
- Left anterior or posterior fascicular block
- Abnormal Q-waves
Other systemic investigations
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Muscle magnetic resonance imaging (MRI) muscle
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Muscle magnetic resonance imaging (MRI) brain
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Cardiology referral: indications
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Respiratory referral: indications tests
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Respiratory treatments
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Cardiac treatments
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Muscle pain treatments
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Other treatments
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Anaesthetic management
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References
- Schoser B, Montagnese F, Bassez G, et al; Myotonic Dystrophy Foundation. Consensus-based care recommendations for adults with myotonic dystrophy type 2. Neurol Clin Pract 2019; 9:343-353.
- Meola G. Myotonic dystrophy type 2: the 2020 update. Acta Myol 2020; 39:222-234.
- Meola G, Cardani R. Myotonic dystrophy type 2: an update on clinical aspects, genetic and pathomolecular mechanism. J Neuromuscul Dis 2015; 2(s2):S59-S71.
- Peric S, Maksimovic R, Banko B, et al. Magnetic resonance imaging of leg muscles in patients with myotonic dystrophies. J Neurol 2017; 264:1899-1908.
- Peric S, Rakocevic-Stojanovic V, Meola G. Cerebral involvement and related aspects in myotonic dystrophy type 2. Neuromuscul Disord 2021; 31:681-694.
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