RT Journal Article SR Electronic T1 Clinical and histologic studies of a Qatari family with myofibrillar myopathy JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1723 OP 1726 VO 25 IS 11 A1 El-Menyar, Ayman A. A1 Al-Suwaidi, Jassim A1 Gehani, Abdurrazak A. A1 Bener, Abdulbari YR 2004 UL http://smj.org.sa/content/25/11/1723.abstract AB The current study reports the first family with confirmed myofibrillar myopathy MFM in the Middle East and the third family worldwide. This study highlights the importance of considering MFM in young patients presenting with idiopathic cardiomyopathy, arrhythmia or atrioventricular block in the Gulf states. This is the first report that presented 2 different types of cardiomyopathy and 2 different indications of permanent pacemaker placement in the same generation of a family with MFM. This report studies a Qatari family consisting of one brother and 3 sisters. The brother had restrictive cardiomyopathy at the age of 16 years. One sister underwent heart transplantation for severe hypertrophic cardiomyopathy at the age of 15 years, the other sister had permanent pacemaker for complete heart block at the age of 21 years. This report is focused mainly on the clinical presentation and investigations carried out for the brother including echocardiogram, cardiac catheterization, cardiac and skeletal muscle biopsy, and electromyography and electrophysiology studies. The study findings support the diagnosis of MFM.