Polymyositis and dermatomyositis electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

An ECG may be helpful in the diagnosis of cardiac complications of polymyositis and dermatomyositis. Findings on an ECG suggestive of cardiac involvement include conduction abnormalities, arrhythmias, left atrial abnormality, and ST-T changes.

Electrocardiogram

Left anterior hemiblock: An ECG showing rS pattern in lead III, qR complex in lead aVL and QRS complex < 0.12 seconds along with left axis deviation
Via ECGpedia.org[4]


Right bundle-branch block: An ECG demonstrating left axis deviation with rS pattern in lead III and QRS complex < 0.12 seconds indicating a left anterior hemiblock. A qR complex is also seen in lead aVL
Via ECGpedia.org[5]


References

  1. Lundberg, I. E. (2006). "The heart in dermatomyositis and polymyositis". Rheumatology. 45 (suppl_4): iv18–iv21. doi:10.1093/rheumatology/kel311. ISSN 1462-0332.
  2. Gottdiener JS, Sherber HS, Hawley RJ, Engel WK (June 1978). "Cardiac manifestations in polymyositis". Am. J. Cardiol. 41 (7): 1141–9. PMID 665523.
  3. Gonzalez-Lopez L, Gamez-Nava JI, Sanchez L, Rosas E, Suarez-Almazor M, Cardona-Muñoz C, Ramos-Remus C (1996). "Cardiac manifestations in dermato-polymyositis". Clin. Exp. Rheumatol. 14 (4): 373–9. PMID 8871835.
  4. "File:LAHB.png - ECGpedia". External link in |title= (help)
  5. "File:ECG RBTB LAtrD.jpg - ECGpedia".