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March 13, 2013Heart and VesselsOpen Access

Mutations in the cardiac troponin T gene show various prognoses in Japanese patients with hypertrophic cardiomyopathy

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Why the study?

Does the type of TNNT2 genetic mutation predict prognosis and phenotype in Japanese patients with familial hypertrophic cardiomyopathy?

Population

173 unrelated Japanese patients with familial hypertrophic cardiomyopathy (HCM)

Design

Cohort

Key result

Screening of 173 Japanese patients with familial hypertrophic cardiomyopathy identified TNNT2 mutations in 11 individuals from 4 families, revealing highly variable clinical phenotypes but a consistent risk of sudden cardiac death in youth.

Authors

EFEtsuko FujitaTNToshio NakanishiTNTsutomu Nishizawa

Discussion

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Overview

Supports lifelong SCD monitoring in TNNT2 carriers with familial HCM; leaves open whether specific mutations refine phenotype or prognosis.

Study Design

Type

Observational (n=173)

Structured PICO

Does the type of TNNT2 genetic mutation predict prognosis and phenotype in Japanese patients with familial hypertrophic cardiomyopathy?

P
Population
173 Japanese patients (median age 20 years) clinically diagnosed with familial hypertrophic cardiomyopathy who underwent genetic screening for TNNT2 mutations.
E
Exposure
Screening for cardiac troponin T (TNNT2) gene mutations
O
Outcome
Genotype-phenotype correlation and prognosis (sudden cardiac death)hard clinical

TNNT2 mutations in Japanese patients with familial HCM are associated with variable clinical phenotypes but carry a consistent risk of sudden cardiac death in youth, necessitating careful lifelong observation.

Limitations

  • Limited number of patients with TNNT2 mutations identified
  • Further examination including new cases is required to clarify the clinical importance of the identified polymorphisms

Cite This Study

Fujita et al. (2013) conducted an observational in Familial hypertrophic cardiomyopathy (n=173). TNNT2 gene mutations was evaluated on Identification of TNNT2 mutations and genotype-phenotype correlation. Screening of 173 Japanese patients with familial hypertrophic cardiomyopathy identified TNNT2 mutations in 11 individuals from 4 families, revealing highly variable clinical phenotypes but a consistent risk of sudden cardiac death in youth.

synapsesocial.com/papers/6a207b4314cb6ef00ff48e91https://doi.org/10.1007/s00380-013-0332-3
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