{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:40:09Z","timestamp":1745368809029,"version":"3.40.4"},"reference-count":13,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>Congestive heart failure is an uncommon initial presentation for dystrophin-deficient muscular dystrophies. Cardiac manifestations may appear in late disease stages, although they classically present after musculoskeletal symptoms develop. This case report describes a patient who presented with heart failure and was newly diagnosed with Becker muscular dystrophy. The objective is to recognize Becker muscular dystrophy as a potential cause of dilated cardiomyopathy in young patients, even in the absence of clinically overt musculoskeletal symptoms.<\/jats:p>","DOI":"10.14503\/thij-21-7634","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T16:55:37Z","timestamp":1670345737000},"source":"Crossref","is-referenced-by-count":0,"title":["Heart Failure as the Initial Clinical Manifestation of Becker Muscular Dystrophy in an Adult"],"prefix":"10.14503","volume":"49","author":[{"given":"Gaspar","family":"Del Rio-Pertuz","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Morataya","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Ratheal","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven R.","family":"Rios","sequence":"additional","affiliation":[{"name":"Department of Cardiopulmonary Rehabilitation, University Medical Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Sethi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erwin","family":"Argueta-Sosa","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"21","key":"i1526-6702-49-6-e217634-b1","series-title":"J Am Coll Cardiol.","first-page":"2533","article-title":"Dystrophin-deficient cardiomyopathy","volume":"67","year":"2016","unstructured":"Kamdar\nF,\n\n\nGarry\nDJ.\n\n\nDystrophin-deficient cardiomyopathy.\nJ Am Coll Cardiol.2016;67(21):2533\u20132546.\ndoi:10.1016\/j.jacc.2016.02.081"},{"issue":"3","key":"i1526-6702-49-6-e217634-b2","series-title":"Int J Cardiol.","first-page":"271","article-title":"The incidence and evolution of cardiomyopathy in Duchenne muscular dystrophy","volume":"26","year":"1990","unstructured":"Nigro\nG,\n\n\nComi\nLI,\n\n\nPolitano\nL,\n\n\nBain\nRJ.\n\n\nThe incidence and evolution of cardiomyopathy in Duchenne muscular dystrophy.\nInt J Cardiol.1990;26(3):271\u2013277.\ndoi:10.1016\/0167-5273(90)90082-g"},{"key":"i1526-6702-49-6-e217634-b3","series-title":"PLoS Curr.","article-title":"The 6-Minute Walk Test and person-reported outcomes in boys with Duchenne muscular dystrophy and typically developing controls: longitudinal comparisons and clinically-meaningful changes over one year","volume":"5","year":"2013","unstructured":"Henricson\nE,\n\n\nAbresch\nR,\n\n\nHan\nJJ,\n\n\n.\nThe 6-Minute Walk Test and person-reported outcomes in boys with Duchenne muscular dystrophy and typically developing controls: longitudinal comparisons and clinically-meaningful changes over one year.\nPLoS Curr.2013;5:\necurrents.md.9e17658b007eb79fcd6f723089f79e06. doi:10.1371\/currents.md.9e17658b007eb79fcd6f723089f79e06"},{"issue":"6","key":"i1526-6702-49-6-e217634-b4","series-title":"Muscle Nerve.","first-page":"966","article-title":"The 6-Minute Walk Test in Duchenne\/Becker muscular dystrophy: longitudinal observations","volume":"42","year":"2010","unstructured":"McDonald\nCM,\n\n\nHenricson\nEK,\n\n\nHan\nJJ,\n\n\n.\nThe 6-Minute Walk Test in Duchenne\/Becker muscular dystrophy: longitudinal observations.\nMuscle Nerve.2010;42(6):966\u2013974.\ndoi:10.1002\/mus.21808"},{"issue":"2","key":"i1526-6702-49-6-e217634-b5","series-title":"Card Electrophysiol Clin.","first-page":"303","article-title":"Arrhythmias in the muscular dystrophies","volume":"7","year":"2015","unstructured":"Rajdev\nA,\n\n\nGroh\nWJ.\n\n\nArrhythmias in the muscular dystrophies.\nCard Electrophysiol Clin.2015;7(2):303\u2013308.\ndoi:10.1016\/j.ccep.2015.03.011"},{"issue":"6","key":"i1526-6702-49-6-e217634-b6","series-title":"Circ Cardiovasc Genet.","first-page":"544","article-title":"Analysis of dystrophin deletion mutations predicts age of cardiomyopathy onset in Becker muscular dystrophy","volume":"2","year":"2009","unstructured":"Kaspar\nRW,\n\n\nAllen\nHD,\n\n\nRay\nWC,\n\n\n.\nAnalysis of dystrophin deletion mutations predicts age of cardiomyopathy onset in Becker muscular dystrophy.\nCirc Cardiovasc Genet.2009;2(6):544\u2013551.\ndoi:10.1161\/CIRCGENETICS.109.867242"},{"issue":"4","key":"i1526-6702-49-6-e217634-b7","series-title":"J Neuromuscul Dis.","first-page":"389","article-title":"The added value of cardiac magnetic resonance in muscular dystrophies","volume":"6","year":"2019","unstructured":"Lamacie\nMM,\n\n\nWarman-Chardon\nJ,\n\n\nCrean\nAM,\n\n\nFlorian\nA,\n\n\nWahbi\nK.\n\n\nThe added value of cardiac magnetic resonance in muscular dystrophies.\nJ Neuromuscul Dis.2019;6(4):389\u2013399.\ndoi:10.3233\/JND-190415"},{"issue":"6","key":"i1526-6702-49-6-e217634-b8","series-title":"J Am Coll Cardiol.","first-page":"855","article-title":"Effect of perindopril on the onset and progression of left ventricular dysfunction in Duchenne muscular dystrophy","volume":"45","year":"2005","unstructured":"Duboc\nD,\n\n\nMeune\nC,\n\n\nLerebours\nG,\n\n\nDevaux\nJY,\n\n\nVaksmann\nG,\n\n\nB\u00e9cane\nHM.\n\n\nEffect of perindopril on the onset and progression of left ventricular dysfunction in Duchenne muscular dystrophy.\nJ Am Coll Cardiol.2005;45(6):855\u2013857.\ndoi:10.1016\/j.jacc.2004.09.078"},{"issue":"2","key":"i1526-6702-49-6-e217634-b9","series-title":"Lancet Neurol.","first-page":"153","article-title":"Eplerenone for early cardiomyopathy in Duchenne muscular dystrophy: a randomised, double-blind, placebo-controlled trial","volume":"14","year":"2015","unstructured":"Raman\nSV,\n\n\nHor\nKN,\n\n\nMazur\nW,\n\n\n.\nEplerenone for early cardiomyopathy in Duchenne muscular dystrophy: a randomised, double-blind, placebo-controlled trial.\nLancet Neurol.2015;14(2):153\u2013161.\ndoi:10.1016\/S1474-4422(14)70318-7"},{"issue":"9","key":"i1526-6702-49-6-e217634-b10","series-title":"J Am Coll Cardiol.","first-page":"955","article-title":"Steroid therapy effectively delays Duchenne's cardiomyopathy","volume":"61","year":"2013","unstructured":"Dec\nGW.\n\n\nSteroid therapy effectively delays Duchenne's cardiomyopathy.\nJ Am Coll Cardiol.2013;61(9):955\u2013956.\ndoi:10.1016\/j.jacc.2012.12.011"},{"issue":"6","key":"i1526-6702-49-6-e217634-b11","series-title":"World J Cardiol.","first-page":"356","article-title":"Cardiomyopathy in Becker muscular dystrophy: overview","volume":"8","year":"2016","unstructured":"Ho\nR,\n\n\nNguyen\nML,\n\n\nMather\nP.\n\n\nCardiomyopathy in Becker muscular dystrophy: overview.\nWorld J Cardiol.2016;8(6):356\u2013361.\ndoi:10.4330\/wjc.v8.i6.356"},{"issue":"4","key":"i1526-6702-49-6-e217634-b12","series-title":"J Heart Lung Transplant.","first-page":"432","article-title":"Clinical outcomes after cardiac transplantation in muscular dystrophy patients","volume":"29","year":"2010","unstructured":"Wu\nRS,\n\n\nGupta\nS,\n\n\nBrown\nRN,\n\n\n.\nClinical outcomes after cardiac transplantation in muscular dystrophy patients.\nJ Heart Lung Transplant.2010;29(4):432\u2013438.\ndoi:10.1016\/j.healun.2009.08.030"},{"issue":"10","key":"i1526-6702-49-6-e217634-b13","series-title":"J Clin Med.","first-page":"3186","article-title":"Duchenne dilated cardiomyopathy: cardiac management from prevention to advanced cardiovascular therapies","volume":"9","year":"2020","unstructured":"Adorisio\nR,\n\n\nMencarelli\nE,\n\n\nCantarutti\nN,\n\n\n.\nDuchenne dilated cardiomyopathy: cardiac management from prevention to advanced cardiovascular therapies.\nJ Clin Med.2020;9(10):3186.\ndoi:10.3390\/jcm9103186"}],"container-title":["Texas Heart Institute 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