Genetics of inherited primary arrhythmia disorders

Danna A Spears, Michael H Gollob Division of Cardiology – Electrophysiology, University Health Network, Toronto General Hospital, Toronto, ON, Canada Abstract: A sudden unexplained death is felt to be due to a primary arrhythmic disorder when no structural heart disease is found on autopsy...

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Main Authors: Spears DA, Gollob MH
Format: Article
Language:English
Published: Dove Medical Press 2015-09-01
Series:The Application of Clinical Genetics
Online Access:https://www.dovepress.com/genetics-of-inherited-primary-arrhythmia-disorders-peer-reviewed-article-TACG
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author Spears DA
Gollob MH
author_facet Spears DA
Gollob MH
author_sort Spears DA
collection DOAJ
description Danna A Spears, Michael H Gollob Division of Cardiology – Electrophysiology, University Health Network, Toronto General Hospital, Toronto, ON, Canada Abstract: A sudden unexplained death is felt to be due to a primary arrhythmic disorder when no structural heart disease is found on autopsy, and there is no preceding documentation of heart disease. In these cases, death is presumed to be secondary to a lethal and potentially heritable abnormality of cardiac ion channel function. These channelopathies include congenital long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, and short QT syndrome. In certain cases, genetic testing may have an important role in supporting a diagnosis of a primary arrhythmia disorder, and can also provide prognostic information, but by far the greatest strength of genetic testing lies in the screening of family members, who may be at risk. The purpose of this review is to describe the basic genetic and molecular pathophysiology of the primary inherited arrhythmia disorders, and to outline a rational approach to genetic testing, management, and family screening. Keywords: long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, short QT syndrome, genetics
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spelling doaj.art-21b4182a6467414692fe6662441ef7eb2022-12-21T17:58:52ZengDove Medical PressThe Application of Clinical Genetics1178-704X2015-09-012015default21523323723Genetics of inherited primary arrhythmia disordersSpears DAGollob MHDanna A Spears, Michael H Gollob Division of Cardiology – Electrophysiology, University Health Network, Toronto General Hospital, Toronto, ON, Canada Abstract: A sudden unexplained death is felt to be due to a primary arrhythmic disorder when no structural heart disease is found on autopsy, and there is no preceding documentation of heart disease. In these cases, death is presumed to be secondary to a lethal and potentially heritable abnormality of cardiac ion channel function. These channelopathies include congenital long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, and short QT syndrome. In certain cases, genetic testing may have an important role in supporting a diagnosis of a primary arrhythmia disorder, and can also provide prognostic information, but by far the greatest strength of genetic testing lies in the screening of family members, who may be at risk. The purpose of this review is to describe the basic genetic and molecular pathophysiology of the primary inherited arrhythmia disorders, and to outline a rational approach to genetic testing, management, and family screening. Keywords: long QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome, short QT syndrome, geneticshttps://www.dovepress.com/genetics-of-inherited-primary-arrhythmia-disorders-peer-reviewed-article-TACG
spellingShingle Spears DA
Gollob MH
Genetics of inherited primary arrhythmia disorders
The Application of Clinical Genetics
title Genetics of inherited primary arrhythmia disorders
title_full Genetics of inherited primary arrhythmia disorders
title_fullStr Genetics of inherited primary arrhythmia disorders
title_full_unstemmed Genetics of inherited primary arrhythmia disorders
title_short Genetics of inherited primary arrhythmia disorders
title_sort genetics of inherited primary arrhythmia disorders
url https://www.dovepress.com/genetics-of-inherited-primary-arrhythmia-disorders-peer-reviewed-article-TACG
work_keys_str_mv AT spearsda geneticsofinheritedprimaryarrhythmiadisorders
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