Genetic Testing in Inherited Heart Diseases: Practical Considerations for Clinicians

被引:10
作者
Care, Melanie [1 ,2 ]
Chauhan, Vijay [1 ,3 ]
Spears, Danna [1 ,3 ]
机构
[1] Univ Hlth Network, Toronto Gen Hosp, Peter Munk Cardiac Ctr, Dept Med,Div Cardiol, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada
[2] Univ Toronto, Dept Mol Genet, Toronto, ON, Canada
[3] Univ Toronto, Dept Med, Toronto, ON, Canada
关键词
Inherited heart disease; Inherited arrhythmia syndrome; Hereditary cardiomyopathy; Genetic testing; Next-generation sequencing; Variant interpretation; SUDDEN CARDIAC DEATH; LONG-QT SYNDROME; HYPERTROPHIC CARDIOMYOPATHY; AMERICAN-COLLEGE; ARRHYTHMIA SYNDROMES; MOLECULAR DIAGNOSIS; SEQUENCE VARIANTS; MEDICAL GENETICS; HIGH PREVALENCE; 60,000 EXOMES;
D O I
10.1007/s11886-017-0885-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review Genetic testing has become an important element in the care of patients with inherited cardiac conditions (ICCs). The purpose of this review is to provide clinicians with insights into the utility of genetic testing as well as challenges associated with interpreting results. Recent Findings Genetic testing may be indicated for individuals who are affected with or who have family histories of various ICCs. Various testing options are available and determining the most appropriate test for any given clinical scenario is key when interpreting results. Newly published guidelines as well as various publicly accessible tools are available to clinicians to help with interpretation of genetic findings; however the subjectivity with respect to variant classification can make accurate assessment challenging. Summary Genetic information can provide highly useful and relevant information for patients, their family members, and their healthcare providers. Given the potential ramifications of variant misclassification, expertise in both clinical phenotyping and molecular genetics is imperative in order to provide accurate diagnosis, management recommendations, and family risk assessment for this patient population.
引用
收藏
页数:11
相关论文
共 87 条
[1]   The Promise and Peril of Precision Medicine: Phenotyping Still Matters Most [J].
Ackerman, Jaeger P. ;
Bartos, Daniel C. ;
Kapplinger, Jamie D. ;
Tester, David J. ;
Delisle, Brian P. ;
Ackerman, Michael J. .
MAYO CLINIC PROCEEDINGS, 2016, 91 (11) :1606-1616
[2]   Genetic purgatory and the cardiac channelopathies: Exposing the variants of uncertain/unknown significance issue [J].
Ackerman, Michael J. .
HEART RHYTHM, 2015, 12 (11) :2325-2331
[3]  
Ackerman MJ, 2011, HEART RHYTHM, V8, P1308, DOI [10.1093/europace/eur245, 10.1016/j.hrthm.2011.05.020]
[4]   Patient Outcomes From a Specialized Inherited Arrhythmia Clinic [J].
Adler, Arnon ;
Sadek, Mouhannad M. ;
Chan, Anita Y. M. ;
Dell, Edith ;
Rutberg, Julie ;
Davis, Darryl ;
Green, Martin S. ;
Spears, Danna A. ;
Gollob, Michael H. .
CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2016, 9 (01)
[5]   Usefulness of Genetic Testing in Hypertrophic Cardiomyopathy: an Analysis Using Real-World Data [J].
Alejandra Restrepo-Cordoba, M. ;
Campuzano, Oscar ;
Ripoll-Vera, Tomas ;
Cobo-Marcos, Marta ;
Mademont-Soler, Irene ;
Gamez, Jose M. ;
Dominguez, Fernando ;
Gonzalez-Lopez, Esther ;
Padron-Barthe, Laura ;
Lara-Pezzi, Enrique ;
Alonso-Pulpon, Luis ;
Brugada, Ramon ;
Garcia-Pavia, Pablo .
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH, 2017, 10 (01) :35-46
[6]  
Alfares AA, 2015, GENET MED, V17, P880, DOI [10.1038/gim.2014.205, 10.1038/gim.2015.16]
[7]   Genetic Analysis of Arrhythmogenic Diseases in the Era of NGS: The Complexity of Clinical Decision-Making in Brugada Syndrome [J].
Allegue, Catarina ;
Coll, Monica ;
Mates, Jesus ;
Campuzano, Oscar ;
Iglesias, Anna ;
Sobrino, Beatriz ;
Brion, Maria ;
Amigo, Jorge ;
Carracedo, Angel ;
Brugada, Pedro ;
Brugada, Josep ;
Brugada, Ramon .
PLOS ONE, 2015, 10 (07)
[8]   Homozygous/Compound Heterozygous Triadin Mutations Associated With Autosomal-Recessive Long-QT Syndrome and Pediatric Sudden Cardiac Arrest Elucidation of the Triadin Knockout Syndrome [J].
Altmann, Helene M. ;
Tester, David J. ;
Will, Melissa L. ;
Middha, Sumit ;
Evans, Jared M. ;
Eckloff, Bruce W. ;
Ackerman, Michael J. .
CIRCULATION, 2015, 131 (23) :2051-2060
[9]   A global reference for human genetic variation [J].
Altshuler, David M. ;
Durbin, Richard M. ;
Abecasis, Goncalo R. ;
Bentley, David R. ;
Chakravarti, Aravinda ;
Clark, Andrew G. ;
Donnelly, Peter ;
Eichler, Evan E. ;
Flicek, Paul ;
Gabriel, Stacey B. ;
Gibbs, Richard A. ;
Green, Eric D. ;
Hurles, Matthew E. ;
Knoppers, Bartha M. ;
Korbel, Jan O. ;
Lander, Eric S. ;
Lee, Charles ;
Lehrach, Hans ;
Mardis, Elaine R. ;
Marth, Gabor T. ;
McVean, Gil A. ;
Nickerson, Deborah A. ;
Wang, Jun ;
Wilson, Richard K. ;
Boerwinkle, Eric ;
Doddapaneni, Harsha ;
Han, Yi ;
Korchina, Viktoriya ;
Kovar, Christie ;
Lee, Sandra ;
Muzny, Donna ;
Reid, Jeffrey G. ;
Zhu, Yiming ;
Chang, Yuqi ;
Feng, Qiang ;
Fang, Xiaodong ;
Guo, Xiaosen ;
Jian, Min ;
Jiang, Hui ;
Jin, Xin ;
Lan, Tianming ;
Li, Guoqing ;
Li, Jingxiang ;
Li, Yingrui ;
Liu, Shengmao ;
Liu, Xiao ;
Lu, Yao ;
Ma, Xuedi ;
Tang, Meifang ;
Wang, Bo .
NATURE, 2015, 526 (7571) :68-+
[10]   Performance of ACMG-AMP Variant-Interpretation Guidelines among Nine Laboratories in the Clinical Sequencing Exploratory Research Consortium [J].
Amendola, Laura M. ;
Jarvik, Gail P. ;
Leo, Michael C. ;
McLaughlin, Heather M. ;
Akkari, Yassmine ;
Amaral, Michelle D. ;
Berg, Jonathan S. ;
Biswas, Sawona ;
Bowling, Kevin M. ;
Conlin, Laura K. ;
Cooper, Greg M. ;
Dorschner, Michael O. ;
Dulik, Matthew C. ;
Ghazani, Arezou A. ;
Ghosh, Rajarshi ;
Green, Robert C. ;
Hart, Ragan ;
Horton, Carrie ;
Johnston, Jennifer J. ;
Lebo, Matthew S. ;
Milosavljevic, Aleksandar ;
Ou, Jeffrey ;
Pak, Christine M. ;
Patel, Ronak Y. ;
Punj, Sumit ;
Richards, Carolyn Sue ;
Salama, Joseph ;
Strande, Natasha T. ;
Yang, Yaping ;
Plon, Sharon E. ;
Biesecker, Leslie G. ;
Rehm, Heidi L. .
AMERICAN JOURNAL OF HUMAN GENETICS, 2016, 98 (06) :1067-1076