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Genetic Testing in Pediatric Cardiomyopathy.
- Source :
-
Pediatric cardiology [Pediatr Cardiol] 2018 Mar; Vol. 39 (3), pp. 491-500. Date of Electronic Publication: 2017 Nov 29. - Publication Year :
- 2018
-
Abstract
- Genetic testing is recommended in patients with dilated cardiomyopathy (DCM); however, limited studies demonstrate high yields of genetic testing in non-hypertrophic (HCM) patients. Furthermore, there is sparse genotype-phenotype data in pediatric DCM patients. We performed a retrospective review of 70 consecutive probands with cardiomyopathy (non-HCM) who underwent genetic evaluation. Mean age at presentation was 5.48 years. Echocardiography revealed mean ejection fraction of 32.4%. The LVEDd z score ranged from - 5.7 to + 15.9. Cardiomyopathy was classified as dilated in 56, 10 with non-compaction, 2 with restrictive, and 2 with ARVC. TTN gene mutations were the most common gene involved. Genetic testing was negative in 16/70 (23%) giving a yield of 77% including VUS. 33% (23/70) of probands had a positive family history among whom the diagnostic yield was 57% (13/23) for pathogenic mutations. Yield for positive genetic testing in the DCM with positive family history group was 9/18 (50%). There were 6 deaths (9%) and 26/70 (37%) underwent transplantation. More frequent cardiac transplantations (48 vs. 34%) and deaths (17 vs. 2%) were seen in mutation-positive vs. mutation-negative subgroups. This study demonstrates an increasing yield of genetic testing in DCM although with a high rate of VUS detection. Use of genetic information for better management and prognostication will require big data analysis.
Details
- Language :
- English
- ISSN :
- 1432-1971
- Volume :
- 39
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Pediatric cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 29188317
- Full Text :
- https://doi.org/10.1007/s00246-017-1779-2