Emergency department care of patients with Duchenne muscular dystrophy.

Autor: Woods WA; Department of Emergency Medicine, University of Virginia, Charlottesville, VA, United States of America; Department of Pediatrics, University of Virginia, Charlottesville, VA, United States of America. Electronic address: waw9h@virginia.edu., Harmon WG; Department of Pediatrics, University of Virginia, Charlottesville, VA, United States of America., Webb LW; Department of Emergency Medicine, University of Virginia, Charlottesville, VA, United States of America., Robinson GG; Department of Pediatrics, University of Virginia, Charlottesville, VA, United States of America., McCulloch MA; Department of Pediatrics, University of Virginia, Charlottesville, VA, United States of America.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2022 Oct; Vol. 60, pp. 101-105. Date of Electronic Publication: 2022 Aug 02.
DOI: 10.1016/j.ajem.2022.07.056
Abstrakt: Patients with Duchenne muscular dystrophy are living longer and are increasingly seen in Emergency Departments. Though the most common cause of death remains progressive respiratory failure, increased life expectancies have unmasked the significance of progressive myocardial dysfunction, now associated with nearly 40% of mortalities in the DMD population. Cardiac complications such as arrhythmias and cardiomyopathy are becoming ever more widely recognized. Emergency physicians may encounter DMD patients with untreated, undiagnosed or worsening of known heart disease. This review will initially familiarize the emergency physician with the pathophysiology and lifetime trajectory of care for these patients before describing specific emergency department evaluation and treatment.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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