Numerous Brugada syndrome-associated genetic variants have no effect on J-point elevation, syncope susceptibility, malignant cardiac arrhythmia, and all-cause mortality
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Numerous Brugada syndrome-associated genetic variants have no effect on J-point elevation, syncope susceptibility, malignant cardiac arrhythmia, and all-cause mortality. / Ghouse, Jonas; Have, Christian T; Skov, Morten W; Andreasen, Laura; Ahlberg, Gustav; Nielsen, Jonas B; Skaaby, Tea; Olesen, Søren-Peter; Grarup, Niels; Linneberg, Allan; Pedersen, Oluf; Vestergaard, Henrik; Haunsø, Stig; Svendsen, Jesper H; Hansen, Torben; Kanters, Jørgen K; Olesen, Morten S.
I: Genetics In Medicine, Bind 19, Nr. 5, 05.2017, s. 521-528.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › fagfællebedømt
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T1 - Numerous Brugada syndrome-associated genetic variants have no effect on J-point elevation, syncope susceptibility, malignant cardiac arrhythmia, and all-cause mortality
AU - Ghouse, Jonas
AU - Have, Christian T
AU - Skov, Morten W
AU - Andreasen, Laura
AU - Ahlberg, Gustav
AU - Nielsen, Jonas B
AU - Skaaby, Tea
AU - Olesen, Søren-Peter
AU - Grarup, Niels
AU - Linneberg, Allan
AU - Pedersen, Oluf
AU - Vestergaard, Henrik
AU - Haunsø, Stig
AU - Svendsen, Jesper H
AU - Hansen, Torben
AU - Kanters, Jørgen K
AU - Olesen, Morten S
PY - 2017/5
Y1 - 2017/5
N2 - PURPOSE: We investigated whether Brugada syndrome (BrS)-associated variants identified in the general population have an effect on J-point elevation as well as whether carriers of BrS variants were more prone to experience syncope and malignant ventricular arrhythmia and had increased mortality compared with noncarriers.METHODS: All BrS-associated variants were identified using the Human Gene Mutation Database (HGMD). Individuals were randomly selected from a general population study using whole-exome sequencing data (n = 870) and genotype array data (n = 6,161) and screened for BrS-associated variants. Electrocardiograms (ECG) were analyzed electronically, and data on syncope, ventricular arrhythmias, and mortality were obtained from administrative health-care registries.RESULTS: In HGMD, 382 BrS-associated genetic variants were identified. Of these, 28 variants were identified in the study cohort. None of the carriers presented with type 1 BrS ECG pattern. Mean J-point elevation in V1 and V2 were within normal guideline limits for carriers and noncarriers. There was no difference in syncope susceptibility (carriers 8/624; noncarriers 98/5,562; P = 0.51), ventricular arrhythmia (carriers 4/620; noncarriers 9/5,524; P = 0.24), or overall mortality (hazard ratio 0.93, 95% CI 0.63-1.4).CONCLUSIONS: Our data indicate that a significant number of BrS-associated variants are not the monogenic cause of BrS.Genet Med advance online publication 06 October 2016Genetics in Medicine (2016); doi:10.1038/gim.2016.151.
AB - PURPOSE: We investigated whether Brugada syndrome (BrS)-associated variants identified in the general population have an effect on J-point elevation as well as whether carriers of BrS variants were more prone to experience syncope and malignant ventricular arrhythmia and had increased mortality compared with noncarriers.METHODS: All BrS-associated variants were identified using the Human Gene Mutation Database (HGMD). Individuals were randomly selected from a general population study using whole-exome sequencing data (n = 870) and genotype array data (n = 6,161) and screened for BrS-associated variants. Electrocardiograms (ECG) were analyzed electronically, and data on syncope, ventricular arrhythmias, and mortality were obtained from administrative health-care registries.RESULTS: In HGMD, 382 BrS-associated genetic variants were identified. Of these, 28 variants were identified in the study cohort. None of the carriers presented with type 1 BrS ECG pattern. Mean J-point elevation in V1 and V2 were within normal guideline limits for carriers and noncarriers. There was no difference in syncope susceptibility (carriers 8/624; noncarriers 98/5,562; P = 0.51), ventricular arrhythmia (carriers 4/620; noncarriers 9/5,524; P = 0.24), or overall mortality (hazard ratio 0.93, 95% CI 0.63-1.4).CONCLUSIONS: Our data indicate that a significant number of BrS-associated variants are not the monogenic cause of BrS.Genet Med advance online publication 06 October 2016Genetics in Medicine (2016); doi:10.1038/gim.2016.151.
U2 - 10.1038/gim.2016.151
DO - 10.1038/gim.2016.151
M3 - Journal article
C2 - 27711072
VL - 19
SP - 521
EP - 528
JO - Genetics in Medicine
JF - Genetics in Medicine
SN - 1098-3600
IS - 5
ER -
ID: 167474416