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Noteworthy Cardiovascular Involvement with Sporadic Late-onset Nemaline Myopathy. 2021
Kosuke Matsuzono, and
Theerawat Kumutpongpanich, and
Kana Kubota, and
Takafumi Okuyama, and
Kohei Furuya, and
Tomoya Yagisawa, and
Akie Horikiri, and
Takeshi Igarashi, and
Kumiko Miura, and
Tadashi Ozawa, and
Takafumi Mashiko, and
Haruo Shimazaki, and
Reiji Koide, and
Ryota Tanaka, and
Hayato Shimizu, and
Yasushi Imai, and
Kazuomi Kario, and
Ichizo Nishino, and
Shigeru Fujimoto
Division of Neurology, Department of Medicine, Jichi Medical University School of Medicine, Japan.
Cardiac involvement has recently been the focus of sporadic late-onset nemaline myopathy (SLONM). However, right ventricular failure and pulmonary hypertension, in addition to repetitive cardiac arrest, are noteworthy characteristics of SLONM. We herein report a 66-year-old woman with SLONM whose main symptoms were cardiac arrest, right ventricular failure, and pulmonary hypertension. Despite permanent pacemaker replacement, cardiac arrest occurred repetitively, and even with continuous positive airway pressure, right ventricular failure and pulmonary hypertension persisted. The patient was finally diagnosed with SLONM by a muscle biopsy. Our case suggests the possibility of cardiovascular involvement in SLONM, especially right ventricular failure and pulmonary hypertension.
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