Aborted Cardiac Arrest in LQT2 Related to Novel <i>KCNH2</i> (<i>hERG</i>) Variant Identified in One Lithuanian Family

Congenital long QT syndrome (LQTS) is a hereditary ion channelopathy associated with ventricular arrhythmia and sudden cardiac death starting from young age due to prolonged cardiac repolarization, which is represented by QT interval changes in electrocardiogram (ECG). Mutations in human ether-à-go-...

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Bibliographic Details
Main Authors: Neringa Bileišienė, Jūratė Barysienė, Violeta Mikštienė, Eglė Preikšaitienė, Germanas Marinskis, Monika Keževičiūtė, Algirdas Utkus, Audrius Aidietis
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/57/7/721
Description
Summary:Congenital long QT syndrome (LQTS) is a hereditary ion channelopathy associated with ventricular arrhythmia and sudden cardiac death starting from young age due to prolonged cardiac repolarization, which is represented by QT interval changes in electrocardiogram (ECG). Mutations in human ether-à-go-go related gene (<i>KCNH2</i> (7q36.1), formerly named <i>hERG</i>) are responsible for Long QT syndrome type 2 (LQT2). LQT2 is the second most common type of LQTS. A resuscitated 31-year-old male with the diagnosis of LQT2 and his family are described. Sequencing analysis of their genomic DNA was performed. Amino acid alteration p.(Ser631Pro) in <i>KCNH2</i> gene was found. This variant had not been previously described in literature, and it was found in three nuclear family members with different clinical course of the disease. Better understanding of genetic alterations and genotype-phenotype correlations aids in risk stratification and more effective management of these patients, especially when employing a trigger-specific approach to risk-assessment and individually tailored therapy.
ISSN:1010-660X
1648-9144