Myotonic muscular dystrophy is a diffuse systemic disorder, which is inherited as an autosomal dominant trait, with appearance in both sexes, generally late onset of symptoms, and slowly progressive evolution. The clinical picture may include involvement of skeletal and cardiac muscle, cataracts, premature frontal baldness, bone changes, testicular atrophy, other mild endocrine abnormalities, and mental deterioration.Evidence of cardiac disease in patients with myotonic dystrophy is usually found in the electrocardiogram, the most common alterations being P and ST and T wave abnormalities, first degree atrioventricular block, left axis deviation, atrial flutter and fibrillation, bundle-branch block, and premature atrial and ventricular contractions