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OasisLMS
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HRS Board Review 2025 New Courses (Reviewers Copy)
Workshop 1_Tomaselli_2025_case 10 answer
Workshop 1_Tomaselli_2025_case 10 answer
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Video Transcription
Video Summary
The correct approach for the patient with progressive cardiac conduction issues and myotonic dystrophy is implanting a permanent pacemaker. Myotonic dystrophy patients often experience conduction block, posing a significant risk of sudden cardiac death. The pacemaker allows the patient to safely continue myxilatin treatment for skeletal muscle disease. There's high mortality, often at a young age, due to severe ECG changes more prevalent in women. Monitoring alone isn't advisable due to unpredictable conduction issues. Supportive care for skeletal muscle disease and managing potential anesthesia complications are crucial. Sodium channel blockers and pacemakers are key in treatment plans.
Keywords
myotonic dystrophy
permanent pacemaker
cardiac conduction
sudden cardiac death
skeletal muscle disease
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