Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
November 25, 2008Human Mutation

Diagnostic yield, interpretation, and clinical utility of mutation screening of sarcomere encoding genes in Danish hypertrophic cardiomyopathy patients and relatives

View Full Paper
Ask AI
Bookmark
Share

Key result

Mutation screening of sarcomere genes established a genetic diagnosis in approximately 40% of families, with a higher yield in familial HCM (53%) compared to sporadic cases (19%).

Why the study?

Does combined genetic and clinical screening improve diagnostic yield and risk stratification in families with hypertrophic cardiomyopathy compared to clinical evaluation alone?

Population

90 Danish hypertrophic cardiomyopathy (HCM) index patients and their close relatives (total n=451)

Comparison

Family screening combining clinical evaluation… vs Clinical investigation alone

Design

Cohort

Authors

PAPaal Skytt AndersenStatens Serum InstitutOHOle HavndrupRoskilde SygehusLHLotte HougsRingsted Sygehus

Discussion

Loading...

Member takes

Implication

Supports genetic screening to identify low-risk HCM relatives for potential discharge from follow-up; leaves open whether combined screening improves stratification over clinical evaluation alone.

Study Design

Type

Observational (n=451)

Structured PICO

Does combined genetic and clinical screening improve diagnostic yield and risk stratification in families with hypertrophic cardiomyopathy compared to clinical evaluation alone?

P
Population
90 Danish hypertrophic cardiomyopathy (HCM) index patients and their close relatives (total n=451)
I
Intervention
Family screening combining clinical evaluation and genetic screening for sarcomere gene mutations (MYH7, MYL3, MYBPC3, TNNI3, TNNT2, TPM1, ACTC, CSRP3, TCAP, TNNC1, and TTN)
C
Comparator
Clinical investigation alone
O
Outcome
Diagnostic yield of genetic screening and clinical evaluationsurrogate

Main Result

Absolute Event Rate: 53% vs 19%

Mutation screening in HCM families is superior to clinical investigation alone for identifying individuals not at increased risk, allowing 60% of relatives to be safely discharged from follow-up.

Cite This Study

Andersen et al. (2008) conducted an observational in Hypertrophic cardiomyopathy (n=451). Mutation screening of sarcomere encoding genes vs. Clinical investigation was evaluated on Genetic diagnostic yield in familial HCM vs. sporadic or unclear inheritance. Mutation screening of sarcomere genes established a genetic diagnosis in approximately 40% of families, with a higher yield in familial HCM (53%) compared to sporadic cases (19%).

synapsesocial.com/papers/6a122fa8a4bed3c7b166b86bhttps://doi.org/10.1002/humu.20862

Topics

Hypertrophic cardiomyopathy
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The 2373insG mutation in the MYBPC3 gene is a founder mutation, which accounts for nearly one-fourth of the HCM cases in the Netherlands2003 · 152 citations
  2. 2Identification of a new missense mutation in MyBP-C associated with hypertrophic cardiomyopathy.1998 · 35 citations
  3. 3High-throughput single strand conformation polymorphism mutation detection by automated capillary array electrophoresis: validation of the method2003 · 51 citations
  4. 4Identification of Novel Interactions Between Domains of Myosin Binding Protein-C That Are Modulated by Hypertrophic Cardiomyopathy Missense Mutations2002 · 111 citations
  5. 5Hypertrophic Cardiomyopathy1987 · 377 citations