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New Family With Catecholaminergic Polymorphic Ventricular Tachycardia Linked to the Triadin Gene
Authors:CAROLINE ROORYCK MD  PhD  FLORENCE KYNDT PharmD  PhD  DOMINIQUE BOZON PhD  NATHALIE ROUX‐BUISSON MD  PhD  FREDERIC SACHER MD  PhD  VINCENT PROBST MD  PhD  JEAN‐BENOIT THAMBO MD  PhD
Institution:1. Univ. Bordeaux, Maladies Rares: Génétique et Métabolisme (MRGM), Bordeaux, France;2. LIRYC, L'Institut de rythmologie et modélisation cardiaque, Université de Bordeaux INSERM, France;3. Service des cardiopathies congénitales, H?pital Cardiologique du Haut‐Lévêque, CHU Bordeaux, Bordeaux, France;4. Institut du thorax, Clinique Cardiologique Inserm, CHU de Nantes, France;5. Laboratoire de Cardiogénétique Moléculaire, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, France;6. INSERM U836, Grenoble Institut des Neurosciences, Equipe Muscle et Pathologies, Grenoble, France
Abstract:We describe a new family with cathecholaminergic polymorphic ventricular tachycardia (CPVT) linked to the Triadin gene. This is the second report of such a CPVT of autosomal recessive inheritance. Using an NGS panel including 42 genes involved in cardiac sudden death, 2 heterozygous pathogenic mutations (c.613C> T/p.Gln205* and c.22 + 29 A>G) were identified in the Triadin gene in 2 sibs who experienced early severe arrhythmias without evidence of CPVT diagnosis at first cardiac evaluation. However, significant arrhythmias occurred after catecholaminergic stimulation. Each of the TRDN mutations was inherited from a healthy parent. In this family, genetic studies permit confirmation of the CPVT diagnosis in the 2 affected sibs and permit the early diagnosis of the third asymptomatic child. It also helped guide the therapeutic strategy in this family.
Keywords:catecholaminergic polymorphic ventricular tachycardia  genetic arrhythmias  presymptomatic testing  sudden cardiac death  triadin
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