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Поражения сердца при нервно-мышечных заболеваниях у детей

Поражения сердца при нервно-мышечных заболеваниях у детей

Abstract

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.

Многие нервно-мышечные заболевания часто сочетаются с поражением миокарда. Среди наиболее распространенных из них группа мышечных дистрофий. Дилатационная кардиомиопатия, желудочковые аритмии, фибрилляции предсердий, нарушения атриовентрикулярной и внутрижелудочковой проводимости, а также внезапная сердечная смерть хорошо известные симптомы при мышечной дистрофии Дюшенна, миотонической дистрофии 1-го и 2-го типов, мышечной дистрофии Эмери-Дрейфуса и различных вариантах поясноконечностных мышечных дистрофий. Выявление кардиальной патологии у данных групп пациентов возможно с помощью электрокардиографии, эхокардиографии и магнитно-резонансной томографии сердца, которые рекомендованы в рамках скринингового обследования и раннего кардиопротективного лечения.

Keywords

НЕРВНО-МЫШЕЧНЫЕ БОЛЕЗНИ,МЫШЕЧНАЯ ДИСТРОФИЯ ДЮШЕННА,МИОТОНИЧЕСКАЯ ДИСТРОФИЯ 1-ГО И 2-ГО ТИПОВ,ПОЯСНО-КОНЕЧНОСТНАЯ МЫШЕЧНАЯ ДИСТРОФИЯ,МЫШЕЧНАЯ ДИСТРОФИЯ ЭМЕРИ-ДРЕЙФУСА,ДИЛАТАЦИОННАЯ КАРДИОМИОПАТИЯ,ЖЕЛУДОЧКОВАЯ АРИТМИЯ,ФИБРИЛЛЯЦИЯ ПРЕДСЕРДИЯ,НАРУШЕНИЕ АТРИОВЕНТРИКУЛЯРНОЙ ПРОВОДИМОСТИ,НАРУШЕНИЕ ВНУТРИЖЕЛУДОЧКОВОЙ ПРОВОДИМОСТИ,ВНЕЗАПНАЯ КАРДИАЛЬНАЯ СМЕРТЬ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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