Japanese study identifies cardiac determinants of sudden death in DM1

Sudden death is a not uncommon event in the evolution of patients suffering from myotonic dystrophy type 1 (DM1). Japanese researchers have analysed the clinical, genetic and pathological data from three of these patients who died prematurely:

  • the three patients, one male and two females, were aged 18, 25 and 35 respectively;
  • only the 25-year-old woman had a disturbed electrocardiogram prior to the sudden death;
  • A post-mortem study of the heart revealed tissue abnormalities in only two patients;
  • a complementary genetic study identified several sequence variations possibly linked to the risk of sudden death in genes other than DMPK1.

 

Comprehensive pathological and genetic investigation of three young adult myotonic dystrophy type 1 patients with sudden unexpected death. Hata Y, Ichimata S, Yoshida K, et al. J Neurol. 2023 Jul 11.