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February 28, 2023Journal of Cardiovascular Development and DiseaseOpen Access

Pathogenic/likely pathogenic variants in cardiomyopathy-related genes (mostly TTN truncating variants) were found in 24% (13/54) of the Latvian cohort and 8% (9/107) of the UK Biobank cohort, with 38% (5/13) of the variant-positive Latvian patients showing ventricular dilation on follow-up MRI.

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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

IRIrina RudakaBVBaiba VilneJIJekaterīna Isakova

Discussion

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Overview

May support cardiomyopathy-gene testing plus imaging follow-up in unexplained early-onset AF; leaves open routine use given this small observational series.

Structured PICO

What is the prevalence of pathogenic genetic variants and structural cardiac abnormalities in patients with early-onset atrial fibrillation without traditional risk factors?

P
Population
161 patients with early-onset atrial fibrillation without known disease-related risk factors (54 from a Latvian cohort and 107 from the UK Biobank).
I
Intervention
Exome sequencing and follow-up cardiac magnetic resonance imaging.
O
Outcome
Prevalence of pathogenic variants and structural cardiac abnormalities.surrogate

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.

Cite This Study

Rudaka et al. (2023) studied this question.

synapsesocial.com/papers/6a7ed5a1084666b5350d2e31https://doi.org/10.3390/jcdd10030104
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