[Erb's muscular dystrophy and congestive myocardiopathy. Description of a case with a whoop due to tricuspid insufficiency].
We describe a case of Erb's limb girdle muscular dystrophy with congestive cardiomyopathy and functional tricuspid insufficiency. The association of these two diseases is rare and the presence of a "whoop" has seldom been found in tricuspid's insufficiency. The integration of clinical, radiological and phonocardiographic data with respiratory and postural changes of the murmur have suggested the correct diagnosis that has been further confirmed by the response to nifedipine. The favourable effect of this drug on the auscultatory findings has laid the foundation of a rational therapeutic approach that has proven to be effective also in the patient's follow-up.
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000188:drug therapy; D006326:Heart Auscultation; D006333:Heart Failure / Q000150:complications*; D006337:Heart Murmurs; D006801:Humans; D008297:Male; D009136:Muscular Dystrophies / Q000150:complications*; D009543:Nifedipine / Q000627:therapeutic use; D011187:Posture; D014262:Tricuspid Valve Insufficiency / Q000150:complications*
D009543:Nifedipine
Distrofia muscolare di Erb e cardiomiopatia congestizia. Descrizione di un caso con soffio a grido di gabbiano da insufficienza tricuspidale.