Prevalence and cardiac phenotype of patients with aphospholamban mutation

被引:60
作者
Hof, I. E. [1 ]
van der Heijden, J. F. [1 ]
Kranias, E. G. [2 ]
Sanoudou, D. [3 ]
de Boer, R. A. [4 ]
van Tintelen, J. P. [5 ]
van der Zwaag, P. A. [6 ]
Doevendans, P. A. [1 ,7 ,8 ]
机构
[1] Univ Med Ctr Utrecht, Dept Cardiol, Utrecht, Netherlands
[2] Univ Cincinnati, Coll Med, Dept Pharmacol & Cell Biophys, Cincinnati, OH USA
[3] Acad Athens, Dept Mol Biol, Ctr Basic Res, Biomed Res Fdn, Athens, Greece
[4] Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands
[5] Acad Med Ctr, Dept Clin Genet, Amsterdam, Netherlands
[6] Univ Med Ctr Groningen, Dept Clin Genet, Groningen, Netherlands
[7] Cent Mil Hosp, Dept Cardiol, Utrecht, Netherlands
[8] Netherlands Heart Inst, Utrecht, Netherlands
关键词
Phospholamban; Arrhythmogenic cardiomyopathy; Dilated cardiomyopathy; Phenotype; PHOSPHOLAMBAN P.ARG14DEL MUTATION; DILATED CARDIOMYOPATHY; ESC GUIDELINES; CARRIERS; LETHAL;
D O I
10.1007/s12471-018-1211-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pathogenic mutations in the phospholamban (PLN) gene may give rise to inherited cardiomyopathies due to its role in calcium homeostasis. Several PLN mutations have been identified, with the R14del mutation being the most prevalent cardiomyopathy-related mutation in the Netherlands. It is present in patients diagnosed with arrhythmogenic cardiomyopathy as well as dilated cardiomyopathy. Awareness of the phenotype of this PLN mutation is of great importance, since many carriers remain to be identified. Patients with the R14del mutation are characterised by older age at onset, low-voltage electrocardiograms and ahigh frequency of ventricular arrhythmias. Additionally, these patients have apoor prognosis often with left ventricular dysfunction and early-onset heart failure. Therefore, when there is asuspicion of aPLN mutation, cardiac and genetic screening is strongly recommended.
引用
收藏
页码:64 / 69
页数:6
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