Children with neuromuscular disorders require routine cardiac screening with ECG and echocardiography to detect and manage early signs of cardiomyopathy and arrhythmias.
May support routine screening in neuromuscular disorders; leaves open need for prospective trials to confirm outcomes.
Many inherited neuromuscular disorders include cardiac involvement as a typical clinical feature. Among the most common of them is the group of muscular dystrophies. Dilated cardiomyopathy, ventricular arrhythmias, atrial fibrillations, atrioventricular and intraventricular conduction abnormalities, and sudden cardiac death are well known pathological findings in Duchenne muscular dystrophies, myotonic dystrophy type I and 2, Emery-Dreifuss muscular dystrophies and different types of limb-girdle muscular dystrophies and other disorders. Detection of cardiac pathology in patients with different muscular dystrophies is possible with ECG, echocardiography and cardiovascular magnetic resonance imaging, which are recommended for screening and early cardioprotective treatment.
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Е. Н. Архипова (2015) studied this question.
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