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September 8, 2021JAMA Cardiology185 citationsOpen Access

Early-Onset Atrial Fibrillation and the Prevalence of Rare Variants in Cardiomyopathy and Arrhythmia Genes

ZYZachary T. YonedaKAKatherine AndersonJQJoseph A. Quintana

Structured PICO

Does genetic testing identify disease-associated variants in patients with early-onset atrial fibrillation?

P
Population
Patients with early-onset atrial fibrillation
I
Intervention
Genetic testing for rare variants in cardiomyopathy and arrhythmia genes
O
Outcome
Prevalence of disease-associated rare variants

Genetic testing identifies disease-associated variants, primarily in cardiomyopathy genes, in 10% of patients with early-onset atrial fibrillation, supporting its clinical utility in this population.

Abstract

In this cohort study, genetic testing identified a disease-associated variant in 10% of patients with early-onset AF (the percentage was higher if diagnosed before the age of 30 years and lower if diagnosed after the age of 60 years). Most pathogenic/likely pathogenic variants are in genes associated with cardiomyopathy. These results support the use of genetic testing in early-onset AF.

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Cite This Study

Yoneda et al. (2021) studied this question.

synapsesocial.com/papers/69d7910eb843b2be99490558https://doi.org/10.1001/jamacardio.2021.3370
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Also Consider

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

  1. 1Several common variants modulate heart rate, PR interval and QRS duration2010 · 391 citations
  2. 2KCNQ1 Gain-of-Function Mutation in Familial Atrial Fibrillation2003 · 1,009 citations
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  4. 4Common Coding Variants in SCN10A Are Associated With the Nav1.8 Late Current and Cardiac Conduction2018 · 32 citations
  5. 5Association of Rare Genetic Variants and Early-Onset Atrial Fibrillation in Ethnic Minority Individuals2021 · 67 citations