Why the study?
Up to 15% of AF occurs without related risk factors, and the prevalence of pathogenic variants and structural cardiac abnormalities in early-onset AF without known risk factors needed to be determined.
What is the prevalence of pathogenic genetic variants and structural cardiac abnormalities in patients with early-onset atrial fibrillation without traditional risk factors?
Population
54 risk factor-free early-onset AF patients and 107 UK Biobank validation patients
Design
Exome sequencing cohort study with independent validation
Authors
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May support cardiomyopathy-gene testing plus imaging follow-up in unexplained early-onset AF; leaves open routine use given this small observational series.
What is the prevalence of pathogenic genetic variants and structural cardiac abnormalities in patients with early-onset atrial fibrillation without traditional risk factors?
Early-onset atrial fibrillation without traditional risk factors is frequently associated with pathogenic variants in cardiomyopathy-related genes, particularly TTN, which may predispose patients to ventricular dilation.
Rudaka et al. (2023) studied this question.