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August 15, 2014IJC Metabolic & EndocrineOpen Access

Cardiac manifestations of myasthenia gravis: A systematic review

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Why the study?

What are the cardiac manifestations and underlying pathogenesis of myasthenia gravis?

Population

Patients with myasthenia gravis and cardiac involvement

Design

Systematic_review

Key result

In a systematic review of 41 articles on myasthenia gravis, 15% of cases had thymoma, of which 97% had antibodies against striated muscle, with Takotsubo cardiomyopathy being the most common cardiomyopathy.

Authors

PSPoojita ShivamurthyMPMatthew W. Parker

Discussion

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Overview

Cardiac monitoring warrants consideration in myasthenia gravis; systematic review leaves open questions on prevalence and screening.

Study Design

Type

Systematic Review

Structured PICO

What are the cardiac manifestations and underlying pathogenesis of myasthenia gravis?

P
Population
Systematic review of 41 articles published between 2003 and 2013 evaluating cardiac manifestations in patients with myasthenia gravis.
O
Outcome
Cardiac manifestations of myasthenia gravis

Heart muscle is a target for autoimmune inflammation in myasthenia gravis, presenting as various cardiac manifestations including Takotsubo cardiomyopathy, myocarditis, and arrhythmias.

Limitations

  • Lack of prospective studies to establish a causal link with striational antibodies

Cite This Study

Shivamurthy et al. (2014) conducted a systematic review in Myasthenia gravis. Anti-striational antibodies and thymoma was evaluated on Cardiac manifestations. In a systematic review of 41 articles on myasthenia gravis, 15% of cases had thymoma, of which 97% had antibodies against striated muscle, with Takotsubo cardiomyopathy being the most common cardiomyopathy.

synapsesocial.com/papers/6aa0af96f077af6c497d38dchttps://doi.org/10.1016/j.ijcme.2014.08.003
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