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Table 5 Clinical characteristics and imaging findings according to the distribution of late gadolinium enhancement (LGE) and fat infiltration in DM2 and FSHD1 patients at baseline and at follow-up

From: Progressive myocardial injury in myotonic dystrophy type II and facioscapulohumeral muscular dystrophy 1: a cardiovascular magnetic resonance follow-up study

 

All DM2 patients

DM2 LGE (+)

DM2 Fat (+)

Type of Arrhythmias

Baseline (n = 32)

Follow-up n = 22

Baseline (n = 5)

Follow-up n = 6

Baseline n = 6

Follow-up n = 7

SVT (n)

2

9

–

5

–

5

Non-sustained VT n (n)

–

–

–

–

–

–

Frequent PVC (≥1000/24h) (n)

–

–

–

–

–

–

AV Block I (n)

4

5

2

2

2

2

AV Block II (n)

–

1

–

–

–

–

LBBB

1

1

1

1

1

1

RBBB

1

2

–

1

–

–

LAH

2

3

–

1

–

–

LGE location and global volume

  

5

6

  

Inferolateral basal (n))

5

6

5

6

1

3

Anterolateral basal (n)

–

2

–

2

–

–

Septal (n)

1

1

1

1

–

–

LGE area - mean (%)

  

8.4

17.6

  

Fat apical

    

6

7

Medical therapy

      

Beta blockers (n)

1

3

–

1

–

1

ACE, Sartans (n)

4

10

1

2

–

2

 

All FSHD1 patients

FSHD1 LGE (+)

FSHD1 Fat (+)

Type of Arrhythmias

Baseline (n = 52)

Follow-up (n = 40)

Baseline (n = 13)

Follow-up (n = 15)

Baseline (n = 7)

Follow-up (n = 12)

SVT (n)

1

8

1

3

–

5

Non-sustained VT n (n)

1

2

1

2

1

1

Frequent PVC (≥1000/24h) (n)

2

11

1

8

2

3

AV Block I (n)

1

3

1

1

–

1

AV Block II (n)

–

–

–

–

–

–

LBBB

–

–

–

–

–

–

RBBB

–

–

–

–

–

–

LAH

–

–

–

–

–

–

LGE location and global volume

  

13

15

2

3

Inferolateral basal (n))

7

7

7

7

–

–

Anterolateral basal (n)

2

1

2

1

–

–

Septal (n)

3

3

3

3

–

–

Inferior (n)

1

3

1

3

–

–

LGE area - mean (%)

  

18.6

28.9

  

Fat apical

    

7

12

Medical therapy

      

Beta blockers (n)

1

4

 

1

1

3

ACE-I, ARBs (n)

2

7

1

3

1

2

  1. SVT = supraventricular tachycardia, VT = ventricular tachycardia, PVC = premature ventricular contractions, LBBB = left bundle branch block, RBBB = right bundle branch block, LAH = left anterior hemiblock, LGE = late gadolinium enhancement. ACE-I = angiotensin-converting enzyme (ACE) inhibitors, ARBs = angiotensin II receptor blockers