en
Scientific article
English

Usefulness of genetic testing in sudden cardiac arrest survivors with or without previous clinical evidence of heart disease

Published inAmerican Journal of Cardiology, vol. 123, no. 12, p. 2031-2038
Publication date2019
Abstract

Genetic testing in survivors of sudden cardiac arrest (SCA) with a suspicious cardiac phenotype is considered clinically useful, whereas its value in the absence of phenotype is disputed. We aimed to evaluate the clinical utility of genetic testing in survivors of SCA with or without cardiac phenotype. Sixty unrelated SCA survivors (median age: 34 [interquartile range 20 to 43] years, 82% male) without coronary artery disease were included: 24 (40%) with detectable cardiac phenotype (Ph(+)SCA) after the SCA event and 36 (60%) with no clear cardiac phenotype (Ph(-)SCA). The targeted exome sequencing was performed using the TruSight-One Sequencing Panel (Illumina). Variants in 185 clinically relevant cardiac genes with minor allele frequency <1% were analyzed. A total of 32 pathogenic or likely pathogenic variants were found in 27 (45%) patients: 17 (71%) in the Ph(+)SCA group and 10 (28%) in the Ph(-)SCA group. Sixteen (67%) Ph(+)SCA patients hosted mutations congruent with the suspected phenotype, in which 12 (50%) were cardiomyopathies and 4 (17%) channelopathies. In Ph(-)SCA cases, 6 (17%) carried a mutation in cardiac ion channel genes that could explain the event. The additional 4 (11%) mutations in this group, could not explain the phenotype and require additional studies. In conclusion, cardiac genetic testing was positive in nearly 2/3 patients of the Ph(+)SCA group and in 1/6 of the Ph(-)SCA group. The test was useful in both groups to identify or confirm an inherited heart disease, with an important impact on the patient care and first-degree relatives at risk.

Keywords
  • Adult
  • Cohort Studies
  • Death
  • Sudden
  • Cardiac/etiology
  • Female
  • Genetic Predisposition to Disease/genetics
  • Genetic Testing
  • Heart Diseases/diagnosis/genetics
  • Humans
  • Male
  • Middle Aged
  • Mutation
  • Phenotype
  • Switzerland
  • Young Adult
Citation (ISO format)
ASATRYAN, Babken et al. Usefulness of genetic testing in sudden cardiac arrest survivors with or without previous clinical evidence of heart disease. In: American Journal of Cardiology, 2019, vol. 123, n° 12, p. 2031–2038. doi: 10.1016/j.amjcard.2019.02.061
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0002-9149
172views
0downloads

Technical informations

Creation10/12/2020 2:45:00 PM
First validation10/12/2020 2:45:00 PM
Update time03/15/2023 11:39:34 PM
Status update03/15/2023 11:39:32 PM
Last indexation01/17/2024 11:52:09 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack