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COMMENTS AND OPINIONS
Cardiac Involvement in Bethlem Myopathy
Josef Finsterer, MD, PhD;
Claudia Stöllberger, MD
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With interest we read the article by van der Kooi et al1 on cardiac involvement (CI) and pulmonary involvement of 50 patients with Bethlem myopathy (BMP). The article raises concerns.
Which other risk factors for atherothrombosis in addition to arterial hypertension were present among the included patients? How many had diabetes mellitus, hyperlipidemia, thyroid dysfunction, or a history of myocardial infarction or rhythm abnormalities, and how many were smokers or obese? How many had undergone stress tests or coronary angiography? The cardiac abnormalities described may be simply attributable to coronary artery disease.
Why did only 37 and 43 of the 50 patients undergo cardiac and pulmonary investigations, respectively? Considering the wide age range, were rather younger or rather older patients investigated? What was the indication for cardiac or pulmonary investigations? How many had both investigations?
There is no pathognomonic electrocardiographic pattern in patients . . . [Full Text of this Article] AUTHOR INFORMATION
RELATED LETTER
Cardiac Involvement in Bethlem Myopathy—Reply
Anneke J. van der Kooi, Willem G. de Voogt, and Marianne de Visser
Arch Neurol. 2007;64(6):915-916.
EXTRACT
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RELATED ARTICLE
Cardiac and Pulmonary Investigations in Bethlem Myopathy
Anneke J. van der Kooi, Willem G. de Voogt, Enrico Bertini, Luciano Merlini, F. Beril Talim, Rabah Ben Yaou, Andoni Urtziberea, and Marianne de Visser
Arch Neurol. 2006;63(11):1617-1621.
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