Links Between MH and Other Disorders
The following disorders have been shown to predispose a patient to MH:
- Central Core Disease and Multiminicore Disease. These patients should not receive MH triggers.
- Duchenne Muscular Dystrophy and Becker’s Muscular Dystrophy patients may develop life-threating hyperkalemia with succinylcholine and/ or potent volatile anesthetic agents, although this is not MH per se.
- The vast majority of muscle and neuromuscular disorders do not predispose the MH.
- Succinylcholine may precipitate muscle breakdown and /or rigidity (especially the myotonias). In general, succinylcholine should be avoided in all patients with clinical muscle or neuromuscular disorders. Mitochondrial myopathies do not predispose to MH.