Dystrophia Myotonica with Hypercapnic Respiratory Failure – Local Challenges and Ethical Dilemmas

Muhammad Amin Ibrahim; Raja Noor Azimah  Raja Zulkifly; Hui-Xin Tan; Raymond Azman Ali

doi:10.24191/jchs.v10i1.5429

Dystrophia Myotonica with Hypercapnic Respiratory Failure – Local Challenges and Ethical Dilemmas

Authors

Muhammad Amin Ibrahim
Raja Noor Azimah Raja Zulkifly
Hui-Xin Tan
Raymond Azman Ali

DOI:

https://doi.org/10.24191/jchs.v10i1.5429

Keywords:

Dystrophia myotonica, respiratory failure, non-invasive, home mechanical ventilation

Abstract

Dystrophia myotonica type 1 (DM1) is an adult-onset progressive form of muscular dystrophy which eventually lead to respiratory failure. Non-invasive home mechanical ventilation (HMV) for these patients could result in a reduced risk of morbidity and mortality. The following case report describes the management of respiratory failure in a patient with DM, and the challenges that come with it
especially in our Malaysian settings.