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肥厚型心肌病基因检测的诊断、预后及治疗意义

Diagnostic, prognostic, and therapeutic implications of genetic testing for hypertrophic cardiomyopathy.

作者信息

Bos J Martijn, Towbin Jeffrey A, Ackerman Michael J

机构信息

Mayo Clinic Windland Smith Rice Sudden Death Genomics Laboratory, Mayo Clinic, Rochester, Minnesota 55905, USA.

出版信息

J Am Coll Cardiol. 2009 Jul 14;54(3):201-11. doi: 10.1016/j.jacc.2009.02.075.

Abstract

Over the last 2 decades, the pathogenic basis for the most common heritable cardiovascular disease, hypertrophic cardiomyopathy (HCM), has been investigated extensively. Affecting approximately 1 in 500 individuals, HCM is the most common cause of sudden death in young athletes. In recent years, genomic medicine has been moving from the bench to the bedside throughout all medical disciplines including cardiology. Now, genomic medicine has entered clinical practice as it pertains to the evaluation and management of patients with HCM. The continuous research and discoveries of new HCM susceptibility genes, the growing amount of data from genotype-phenotype correlation studies, and the introduction of commercially available genetic tests for HCM make it essential that the modern-day cardiologist understand the diagnostic, prognostic, and therapeutic implications of HCM genetic testing.

摘要

在过去20年里,人们对最常见的遗传性心血管疾病——肥厚型心肌病(HCM)的致病基础进行了广泛研究。HCM影响着约每500人中的1人,是年轻运动员猝死的最常见原因。近年来,基因组医学已在包括心脏病学在内的所有医学领域从实验室走向临床。如今,基因组医学已进入临床实践,涉及HCM患者的评估和管理。新的HCM易感基因的不断研究与发现、基因型-表型相关性研究数据量的不断增加,以及针对HCM的商业可用基因检测的推出,使得当代心脏病专家了解HCM基因检测的诊断、预后和治疗意义变得至关重要。

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