2006
DOI: 10.1016/j.ejheart.2005.11.003
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Desmin accumulation restrictive cardiomyopathy and atrioventricular block associated with desmin gene defects

Abstract: Background: Primary desminopathies are caused by desmin gene [DES (MIM*125660)] mutations. The clinical spectrum includes pure myopathies, cardiomuscular diseases and cardiomyopathies. Patients with restrictive cardiomyopathy (RCM) plus atrioventricular block (AVB) due to DES defects are frequently unrecognized unless desmin accumulation is specifically investigated in endomyocardial biopsy (EMB) by ultrastructural study. Aims: To describe a cardiological phenotype characterized by RCM plus AVB due to desmin a… Show more

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Cited by 168 publications
(137 citation statements)
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References 26 publications
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“…Additional cardiopathological findings have been reported based on examination of cardiac biopsies or explanted hearts. 37,43,52,56 In all described cases, microscopic examination revealed protein aggregates in the center of cardiac muscle fibre, rather than subsarcolemmally, hypertrophy of cardiomyocytes, prominent nuclei and considerable interstitial fibrosis (Fig. 8).…”
Section: Cardiac and Smooth Muscle Pathologymentioning
confidence: 83%
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“…Additional cardiopathological findings have been reported based on examination of cardiac biopsies or explanted hearts. 37,43,52,56 In all described cases, microscopic examination revealed protein aggregates in the center of cardiac muscle fibre, rather than subsarcolemmally, hypertrophy of cardiomyocytes, prominent nuclei and considerable interstitial fibrosis (Fig. 8).…”
Section: Cardiac and Smooth Muscle Pathologymentioning
confidence: 83%
“…The primary syndrome in seven patients from four families was RCM with atrio-ventricular block; 37 only two patients showed clinical evidence of skeletal myopathy. Desmin accumulation was demonstrated in the myocardial and skeletal muscle samples.…”
Section: Cardiomyopathymentioning
confidence: 97%
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“…Restrictive cardiomyopathy by deposition of desmin is usually associated with electrophysiological abnormalities of cardiac stimulus conduction, particularly different degrees of AVB [1][2][3] . Ventricular tachycardia may also occur in this disease.…”
Section: Discussionmentioning
confidence: 99%
“…Besides the restriction to diastolic ventricular filling, patients usually present clinical or subclinical skeletal myopathy and varying degrees of atrioventricular block (AVB) [1][2][3] . Although several cases of the disease have been previously reported, the morphological basis for the development of AVB has not been studied.…”
Section: Introductionmentioning
confidence: 99%