Desmoplakin cardiomyopathy: recent updates in natural history and management.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Lily Hoffman-Andrews, Olivia G Anderson, Anjali Tiku Owens
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引用次数: 0

Abstract

Purpose of review: Cardiomyopathy caused by pathogenic variants in the desmoplakin gene has recently emerged as an entity distinct from other genetic cardiomyopathies. This review summarizes recent literature, including the first large cohort studies of this disease, that have begun to characterize its natural history and specific management challenges.

Recent findings: Desmoplakin cardiomyopathy may be characterized by episodic "hot phases", cutaneous findings, and a high risk of sudden cardiac death. Gene-specific risk factors for sudden cardiac death have begun to be elucidated.

Summary: Genetic testing in arrhythmogenic cardiomyopathy and recurrent myocarditis can identify patients with desmoplakin variants who may have a unique phenotype that requires gene-specific management. More research is needed in this population to further guide treatment, counseling, and risk stratification.

Desmoplakin心肌病:自然史和治疗的最新进展。
综述目的:由促丝蛋白基因的致病性变异引起的心肌病最近作为一种不同于其他遗传性心肌病的实体出现。这篇综述总结了最近的文献,包括对这种疾病的第一次大型队列研究,这些研究已经开始描述其自然历史和具体的管理挑战。最近发现:桥状血小板性心肌病的特征可能是偶发性“热期”、皮肤表现和心源性猝死的高风险。心源性猝死的基因特异性危险因素已经开始被阐明。摘要:心律失常性心肌病和复发性心肌炎的基因检测可以识别出具有独特表型需要基因特异性管理的桥蛋白变异患者。需要对这一人群进行更多的研究,以进一步指导治疗、咨询和风险分层。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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