Interpretation of the 2022 EHRA/HRS/APHRS/LAHRS expert consensus on genetic testing for cardiac diseases
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摘要: 遗传性心血管疾病是指由基因变异引起,符合孟德尔遗传规律的一系列心血管疾病,常表现出家族性聚集。相关疾病包括长QT综合征、短QT综合征、Brugada综合征等遗传性心律失常综合征,肥厚型心肌病、扩张型心肌病、致心律失常性心肌病等结构性心肌病。随着基因筛查在临床中的应用,临床医生应该如何认识基因筛查的重要性和局限性?2022《EHRA/HRS/APHRS/LAHRS心血管疾病基因检测专家共识》概述了基因检测的基本原则,并介绍了遗传性心律失常综合征、心肌病等疾病的基因检测现状,对临床工作具有重要指导意义。Abstract: Hereditary cardiovascular disease refers to a series of cardiovascular diseases caused by gene variants, in accordance with the rule of Mendelian inheritance, often showing familial aggregation. Related diseases include, but are not limited to, hereditary arrhythmia syndromes such as long QT syndrome, short QT syndrome, Brugada syndrome, and structural cardiomyopathy such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and arrhythmogenic cardiomyopathy. With the application of genetic screening in clinical practice, how should clinicians understand the importance and limitations of genetic screening, the 2022 EHRA/HRS/APHRS/LAHRS Expert Consensus on Genetic Testing for Cardiovascular Diseases Outlines the basic principles of genetic testing and introduces the current status of genetic testing for hereditary arrhythmia syndrome, cardiomyopathy and other diseases, which has important guiding significance for clinical work.
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Key words:
- genetic testing /
- cardiac diseases /
- arrhythmia
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[1] Ackerman MJ, Priori SG, Willems S, et al. HRS/EHRA expert consensus statement on the state of genetic testing for the channelopathies and cardiomyopathies this document was developed as a partnership between the Heart Rhythm Society(HRS)and the European Heart Rhythm Association(EHRA)[J]. Heart Rhythm, 2011, 8(8): 1308-1339. doi: 10.1016/j.hrthm.2011.05.020
[2] Wilde A, Semsarian C, Marquez MF, et al. European Heart Rhythm Association(EHRA)/Heart Rhythm Society(HRS)/Asia Pacific Heart Rhythm Society(APHRS)/Latin American Heart Rhythm Society(LAHRS)Expert Consensus Statement on the State of Genetic Testing for Cardiac Diseases[J]. Heart Rhythm, 2022, 19(7): e1-e60. doi: 10.1016/j.hrthm.2022.03.1225
[3] Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology[J]. Genet Med, 2015, 17(5): 405-424. doi: 10.1038/gim.2015.30
[4] Priori SG, Wilde AA, Horie M, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013[J]. Heart Rhythm, 2013, 10(12): 1932-1963. doi: 10.1016/j.hrthm.2013.05.014
[5] Schwartz PJ, Stramba-Badiale M, Crotti L, et al. Prevalence of the congenital long-QT syndrome[J]. Circulation, 2009, 120(18): 1761-1767. doi: 10.1161/CIRCULATIONAHA.109.863209
[6] Moss AJ, Schwartz PJ, Crampton RS, et al. The long QT syndrome: a prospective international study[J]. Circulation, 1985, 71(1): 17-21. doi: 10.1161/01.CIR.71.1.17
[7] Schwartz PJ, Crotti L. QTc behavior during exercise and genetic testing for the long-QT syndrome[J]. Circulation, 2011, 124(20): 2181-2184. doi: 10.1161/CIRCULATIONAHA.111.062182
[8] Rucinski C, Winbo A, Marcondes L, et al. A Population-Based Registry of Patients With Inherited Cardiac Conditions and Resuscitated Cardiac Arrest[J]. J Am Coll Cardiol, 2020, 75(21): 2698-2707. doi: 10.1016/j.jacc.2020.04.004
[9] Krahn AD, Healey JS, Simpson CS, et al. Sentinel symptoms in patients with unexplained cardiac arrest: from the cardiac arrest survivors with preserved ejection fraction registry(CASPER)[J]. J Cardiovasc Electrophysiol, 2012, 23(1): 60-66. doi: 10.1111/j.1540-8167.2011.02185.x
[10] Postema PG. About Brugada syndrome and its prevalence[J]. Europace, 2012, 14(7): 925-928. doi: 10.1093/europace/eus042
[11] Papadakis M, Papatheodorou E, Mellor G, et al. The Diagnostic Yield of Brugada Syndrome After Sudden Death With Normal Autopsy[J]. J Am Coll Cardiol, 2018, 71(11): 1204-1214. doi: 10.1016/j.jacc.2018.01.031
[12] Tadros R, Nannenberg EA, Lieve KV, et al. Yield and Pitfalls of Ajmaline Testing in the Evaluation of Unexplained Cardiac Arrest and Sudden Unexplained Death: Single-Center Experience With 482 Families[J]. JACC Clin Electrophysiol, 2017, 3(12): 1400-1408. doi: 10.1016/j.jacep.2017.04.005
[13] Crotti L, Odening KE, Sanguinetti MC. Heritable arrhythmias associated with abnormal function of cardiac potassium channels[J]. Cardiovasc Res, 2020, 116(9): 1542-1556. doi: 10.1093/cvr/cvaa068
[14] Walsh R, Adler A, Amin AS, et al. Evaluation of gene validity for CPVT and short QT syndrome in sudden arrhythmic death[J]. Eur Heart J, 2022, 43(15): 1500-1510. doi: 10.1093/eurheartj/ehab687
[15] Charron P, Arad M, Arbustini E, et al. Genetic counselling and testing in cardiomyopathies: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases[J]. Eur Heart J, 2010, 31(22): 2715-2726. doi: 10.1093/eurheartj/ehq271
[16] Ahmad F, Mcnally EM, Ackerman MJ, et al. Establishment of Specialized Clinical Cardiovascular Genetics Programs: Recognizing the Need and Meeting Standards: A Scientific Statement From the American Heart Association[J]. Circ Genom Precis Med, 2019, 12(6): e54.
[17] Elliott P, Andersson B, Arbustini E, et al. Classification of the cardiomyopathies: a position statement from the European Society Of Cardiology Working Group on Myocardial and Pericardial Diseases[J]. Eur Heart J, 2008, 29(2): 270-276.
[18] van Lint F, Murray B, Tichnell C, et al. Arrhythmogenic Right Ventricular Cardiomyopathy-Associated Desmosomal Variants Are Rarely De Novo[J]. Circ Genom Precis Med, 2019, 12(8): e2467.
[19] Fressart V, Duthoit G, Donal E, et al. Desmosomal gene analysis in arrhythmogenic right ventricular dysplasia/cardiomyopathy: spectrum of mutations and clinical impact in practice[J]. Europace, 2010, 12(6): 861-868. doi: 10.1093/europace/euq104
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