Vats Hemender S, Richardson Steven K, Pulukurthy Satyavardhan, Olshansky Brian
Department of Internal Medicine, University of Iowa Hospitals and Clinics Iowa City, Iowa, USA.
Cardiol Rev. 2004 May-Jun;12(3):134-7. doi: 10.1097/01.crd.0000117762.62596.8d.
Myasthenia gravis is an autoimmune disorder with antibodies to the acetylcholine receptors (Ach R) in skeletal muscles. Myocardial involvement can present as a myocarditis or with arrhythmias. To our knowledge, there is no documentation in the literature of pericardial involvement in myasthenia gravis. We report the presence of pericardial effusion and atrioventricular conduction block in a patient with myasthenia gravis that responded appropriately to immunosuppressive therapy and plasma exchanges.
重症肌无力是一种自身免疫性疾病，体内存在针对骨骼肌中乙酰胆碱受体（Ach R）的抗体。心肌受累可表现为心肌炎或心律失常。据我们所知，文献中尚无重症肌无力合并心包受累的记载。我们报告了一例重症肌无力患者出现心包积液和房室传导阻滞，经免疫抑制治疗和血浆置换后病情得到了适当缓解。
