Table 1.
Anamnestic data | Genetic test | Neuromuscular assessment | Cardiological assessment | CMR assessment | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age at onset (y, range) | Age at CMR (y, range) | Length (bp) | MRC | MIRS† | Myotonia | Heart rate (bpm) | PR (ms) | QRS (ms) | QTc (ms) | EF (%) | GCS (%) | SCS (%) | GECV (%) | SECV (%) | |
Patient 1 | 35–39 | 50–54 | 460 | 103 | 4 | Absent | 71 | 160 | 108* | 450* | 68 | −16. 5 | −24.0 | 43.2 | 39.2 |
Patient 2 | 25–29 | 25–29 | 630 | 130 | 5 | Absent | 73 | 140 | 102* | 415 | 64 | −16. 7 | −15.6 | 38.4 | 37.6 |
Patient 3 | 15–19 | 20–24 | 300 | 130 | 2 | Absent | 70 | 233* | 102* | 439 | 65 | −21. 7 | −24.2 | 27.2 | 26.9 |
Patient 4 | 35–39 | 40–44 | 1,000 | 116 | 4 | Absent | 73 | 142 | 82 | 470* | 67 | −21. 3 | −24.4 | 29.3 | 30.1 |
Patient 5 | 35–39 | 50–54 | 320 | 112 | 4 | Absent | 69 | 225* | 138* | 447* | 52 | −14. 0 | −17.9 | 36.8 | 39.0 |
Patient 6 | 20–24 | 35–39 | 350 | 128 | 2 | Absent | 65 | 186 | 110* | 445* | 70 | −20. 1 | −22.5 | 27.5 | 29.0 |
Patient 7 | 10–14 | 30–34 | 680 | 112 | 3 | Absent∧ | 69 | 194 | 105* | 417 | 56 | −20. 5 | −20.3 | 31.1 | 30.5 |
Patient 8 | 10–14 | 25–29 | 680 | 130 | 2 | Absent∧ | 71 | 174 | 112* | 410 | 64 | −19. 1 | −18.7 | 32.6 | 34.1 |
Patient 9 | 15–19 | 35–39 | 490 | 126 | 2 | Absent∧ | 73 | 144 | 84 | 402 | 56 | −13. 9 | −14.7 | 32.3 | 31.9 |
Median | 20 | 36 | 490 | 126 | 3 | – | 71 | 174 | 105 | 439 | 64 | −19.1 | −20.3 | 32.3 | 31.9 |
IQR | 18–35 | 29–44 | 350–680 | 112–130 | 2–4 | – | 69–73 | 144–194 | 102–110 | 415–447 | 56–67 | −20.5 to −16.5 | −24.1 to −17.9 | 29.3–36.8 | 30.1–37.6 |
Min-max | 14–39 | 24–53 | 300–1,000 | 103–130 | 2–5 | – | 65–73 | 140–233 | 82–138 | 402–470 | 52–70 | −21.7 to −13.9 | −24.4 to −14.7 | 27.2–43.2 | 26.9–39.2 |
CMR, cardiac magnetic resonance; MRC, medical research council scale; MIRS, muscular impairment rating scale; PR interval normal value <200 ms; QRS duration normal value <100 ms; QTc normal values ≤ 430 ms in female or ≤ 450 ms in male; EF left ventricular ejection fraction normal value >50%; GCS, global circumferential strain; SCS, septal circumferential strain; GECV, global extracellular volume; SECV, septal extracellular volume.
values out of the normal range.
patients on mexiletine.
indicates that the three patients in our sample who had no symptomps of myotonia but were also under mexiletine (anti-dystonic drug).