Abstract
Idiopathic dilated cardiomyopathy (DCM) is characterised by ventricular dilatation and impaired systolic function resulting in congestive heart failure and frequently death. A dilated cardiomyopathy is common in patients with symptomatic Duchenne/Becker muscular dystrophy, a disease caused by dystrophin gene defects. However, cardiomyopathy is rarely the predominant clinical feature of this form of muscular dystrophy. To determine whether dystrophin gene defects might account for a significant number of patients with apparently isolated idiopathic DCM, we performed dystrophin gene analysis in 27 DCM patients, who were ascertained as part of a prospective study on idiopathic DCM. No dystrophin gene defects were found in our patients, whose average age was 50 years. These data suggest that dystrophin defects are not a common cause of idiopathic DCM in this age group in the absence of skeletal muscle cramps or weakness.
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Selected References
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- Beggs A. H., Hoffman E. P., Snyder J. R., Arahata K., Specht L., Shapiro F., Angelini C., Sugita H., Kunkel L. M. Exploring the molecular basis for variability among patients with Becker muscular dystrophy: dystrophin gene and protein studies. Am J Hum Genet. 1991 Jul;49(1):54–67. [PMC free article] [PubMed] [Google Scholar]
- Beggs A. H., Koenig M., Boyce F. M., Kunkel L. M. Detection of 98% of DMD/BMD gene deletions by polymerase chain reaction. Hum Genet. 1990 Nov;86(1):45–48. doi: 10.1007/BF00205170. [DOI] [PubMed] [Google Scholar]
- Berko B. A., Swift M. X-linked dilated cardiomyopathy. N Engl J Med. 1987 May 7;316(19):1186–1191. doi: 10.1056/NEJM198705073161904. [DOI] [PubMed] [Google Scholar]
- Delfau M. H., Picat C., De Rooij F., Voortman G., Deybach J. C., Nordmann Y., Grandchamp B. Molecular heterogeneity of acute intermittent porphyria: identification of four additional mutations resulting in the CRIM-negative subtype of the disease. Am J Hum Genet. 1991 Aug;49(2):421–428. [PMC free article] [PubMed] [Google Scholar]
- Emanuel R., Withers R., O'Brien K. Dominant and recessive modes of inheritance in idiopathic cardiomyopathy. Lancet. 1971 Nov 13;2(7733):1065–1067. doi: 10.1016/s0140-6736(71)90383-7. [DOI] [PubMed] [Google Scholar]
- Goldblatt J., Melmed J., Rose A. G. Autosomal recessive inheritance of idiopathic dilated cardiomyopathy in a Madeira Portuguese kindred. Clin Genet. 1987 Apr;31(4):249–254. doi: 10.1111/j.1399-0004.1987.tb02803.x. [DOI] [PubMed] [Google Scholar]
- Kamakura K., Kawai M., Arahata K., Koizumi H., Watanabe K., Sugita H. A manifesting carrier of Duchenne muscular dystrophy with severe myocardial symptoms. J Neurol. 1990 Dec;237(8):483–485. doi: 10.1007/BF00314767. [DOI] [PubMed] [Google Scholar]
- Katiyar B. C., Misra S., Somani P. N., Chaterji A. M. Congestive cardiomyopathy in a family of Becker's X-linked muscular dystrophy. Postgrad Med J. 1977 Jan;53(615):12–15. doi: 10.1136/pgmj.53.615.12. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Koenig M., Beggs A. H., Moyer M., Scherpf S., Heindrich K., Bettecken T., Meng G., Müller C. R., Lindlöf M., Kaariainen H. The molecular basis for Duchenne versus Becker muscular dystrophy: correlation of severity with type of deletion. Am J Hum Genet. 1989 Oct;45(4):498–506. [PMC free article] [PubMed] [Google Scholar]
- Kuhn E., Fiehn W., Schröder J. M., Assmus H., Wagner A. Early myocardial disease and cramping myalgia in Becker-type muscular dystrophy: a kindred. Neurology. 1979 Aug;29(8):1144–1149. doi: 10.1212/wnl.29.8.1144. [DOI] [PubMed] [Google Scholar]
- Manolio T. A., Baughman K. L., Rodeheffer R., Pearson T. A., Bristow J. D., Michels V. V., Abelmann W. H., Harlan W. R. Prevalence and etiology of idiopathic dilated cardiomyopathy (summary of a National Heart, Lung, and Blood Institute workshop. Am J Cardiol. 1992 Jun 1;69(17):1458–1466. doi: 10.1016/0002-9149(92)90901-a. [DOI] [PubMed] [Google Scholar]
- Michels V. V., Driscoll D. J., Miller F. A., Jr Familial aggregation of idiopathic dilated cardiomyopathy. Am J Cardiol. 1985 Apr 15;55(9):1232–1233. doi: 10.1016/0002-9149(85)90675-7. [DOI] [PubMed] [Google Scholar]
- Michels V. V., Moll P. P., Miller F. A., Tajik A. J., Chu J. S., Driscoll D. J., Burnett J. C., Rodeheffer R. J., Chesebro J. H., Tazelaar H. D. The frequency of familial dilated cardiomyopathy in a series of patients with idiopathic dilated cardiomyopathy. N Engl J Med. 1992 Jan 9;326(2):77–82. doi: 10.1056/NEJM199201093260201. [DOI] [PubMed] [Google Scholar]
- Perloff J. K., de Leon A. C., Jr, O'Doherty D. The cardiomyopathy of progressive muscular dystrophy. Circulation. 1966 Apr;33(4):625–648. doi: 10.1161/01.cir.33.4.625. [DOI] [PubMed] [Google Scholar]
- Southern E. M. Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol. 1975 Nov 5;98(3):503–517. doi: 10.1016/s0022-2836(75)80083-0. [DOI] [PubMed] [Google Scholar]
- Ueda K., Okada R., Matsuo H., Harumi K., Yasuda H. Myocardial involvement in benign Duckenne type of progressive muscular dystrophy. Jpn Heart J. 1970 Jan;11(1):26–35. doi: 10.1536/ihj.11.26. [DOI] [PubMed] [Google Scholar]
