A very high risk of cardiac complications in Emery-Dreifuss muscular dystrophy

An international consortium of researchers and clinicians investigated disorders of cardiac function and/or cardiac rhythm during the course of Emery-Dreifuss muscular dystrophy linked to the gene encoding emerin (EMD1) of X-linked recessive transmission :

  • longitudinal clinical and electrophysiological data from 38 men with EMD1 and 21 symptomatic female EMD1 transmitters were analysed in the study,
  • the incidence of severe conduction disorders and significant deterioration in left ventricular function appears to be very high in this population,
  • these complications are comparable to those observed in patients with the autosomal dominant form of Emery-Dreifuss muscular dystrophy (EMD2).

Consequently, the authors recommend a more pro-active prophylactic approach for EMD1.

 

Emery-Dreifuss Muscular Dystrophy 1 is associated with high risk of malignant ventricular arrhythmias and end-stage heart failure. Cannie DE, Syrris P, Protonotarios A et al. Eur Heart J. 2023 Aug.