Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease
Objectives: According to recent publications, some patients with spinal and bulbar muscular atrophy (BSMA) develop cardiac disease, manifesting as ST-segment abnormalities, Brugada-syndrome, dilative cardiomyopathy, or sudden cardiac death. Here we present neurological and cardiac data of a BSMA pat...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | Molecular Genetics and Metabolism Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214426917301453 |
| _version_ | 1818993327869001728 |
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| author | Josef Finsterer Claudia Stöllberger |
| author_facet | Josef Finsterer Claudia Stöllberger |
| author_sort | Josef Finsterer |
| collection | DOAJ |
| description | Objectives: According to recent publications, some patients with spinal and bulbar muscular atrophy (BSMA) develop cardiac disease, manifesting as ST-segment abnormalities, Brugada-syndrome, dilative cardiomyopathy, or sudden cardiac death. Here we present neurological and cardiac data of a BSMA patient who was followed up for 10 y.
Case report: In a male patient aged 47 y, BSMA was diagnosed at age 37 y upon the typical clinical presentation (postural tremor since age 12 y, dysarthria since age 15 y, muscle cramps since age 29 y, general myalgias since age 32 y, general fasciculations since age 34 y, myoclonic jerks, easy fatigability, dyspnea upon exercise since age 36 y) and a CAG-repeat expansion of 47 ± 1 repeats in the androgen-receptor gene detected at age 37 y. During the next 10 y he additionally developed mild but slowly progressive diffuse weakness on the upper limbs and mild proximal weakness on the lower limbs. Cardiologic exam, ECG, and echocardiography were normal at ages 37 y, 41 y, 44 y, and 47 y.
Conclusions: Cardiac involvement may only develop in some BSMA patients within 10 y, whereas neurologic abnormalities slowly progress within 10 y of observation. Cardiac disease may develop at a later stage with progression of age and disease. |
| first_indexed | 2024-12-20T20:40:18Z |
| format | Article |
| id | doaj.art-b8dab6bc586b4b348a7663dc100de6e0 |
| institution | Directory Open Access Journal |
| issn | 2214-4269 |
| language | English |
| last_indexed | 2024-12-20T20:40:18Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Molecular Genetics and Metabolism Reports |
| spelling | doaj.art-b8dab6bc586b4b348a7663dc100de6e02022-12-21T19:27:08ZengElsevierMolecular Genetics and Metabolism Reports2214-42692018-03-0114C444610.1016/j.ymgmr.2017.11.007Only some patients with bulbar and spinal muscular atrophy may develop cardiac diseaseJosef Finsterer0Claudia Stöllberger1Krankenanstalt Rudolfstiftung, Vienna, Austria2nd Medical Department with Cardiology and Intensive Care Medicine, Krankenanstalt Rudolfstiftung, Vienna, AustriaObjectives: According to recent publications, some patients with spinal and bulbar muscular atrophy (BSMA) develop cardiac disease, manifesting as ST-segment abnormalities, Brugada-syndrome, dilative cardiomyopathy, or sudden cardiac death. Here we present neurological and cardiac data of a BSMA patient who was followed up for 10 y. Case report: In a male patient aged 47 y, BSMA was diagnosed at age 37 y upon the typical clinical presentation (postural tremor since age 12 y, dysarthria since age 15 y, muscle cramps since age 29 y, general myalgias since age 32 y, general fasciculations since age 34 y, myoclonic jerks, easy fatigability, dyspnea upon exercise since age 36 y) and a CAG-repeat expansion of 47 ± 1 repeats in the androgen-receptor gene detected at age 37 y. During the next 10 y he additionally developed mild but slowly progressive diffuse weakness on the upper limbs and mild proximal weakness on the lower limbs. Cardiologic exam, ECG, and echocardiography were normal at ages 37 y, 41 y, 44 y, and 47 y. Conclusions: Cardiac involvement may only develop in some BSMA patients within 10 y, whereas neurologic abnormalities slowly progress within 10 y of observation. Cardiac disease may develop at a later stage with progression of age and disease.http://www.sciencedirect.com/science/article/pii/S2214426917301453Androgen receptorKennedy diseaseBulbospinal muscular atrophyCardiac involvementArrhythmiasHeart failureSudden cardiac death |
| spellingShingle | Josef Finsterer Claudia Stöllberger Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease Molecular Genetics and Metabolism Reports Androgen receptor Kennedy disease Bulbospinal muscular atrophy Cardiac involvement Arrhythmias Heart failure Sudden cardiac death |
| title | Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| title_full | Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| title_fullStr | Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| title_full_unstemmed | Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| title_short | Only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| title_sort | only some patients with bulbar and spinal muscular atrophy may develop cardiac disease |
| topic | Androgen receptor Kennedy disease Bulbospinal muscular atrophy Cardiac involvement Arrhythmias Heart failure Sudden cardiac death |
| url | http://www.sciencedirect.com/science/article/pii/S2214426917301453 |
| work_keys_str_mv | AT joseffinsterer onlysomepatientswithbulbarandspinalmuscularatrophymaydevelopcardiacdisease AT claudiastollberger onlysomepatientswithbulbarandspinalmuscularatrophymaydevelopcardiacdisease |