Related Experiment Video
Updated: Aug 25, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Genomics in sudden cardiac death
Dan E Arking1, Sumeet S Chugh, Aravinda Chakravarti
1McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, 733 N Broadway, Room 580, Baltimore, Md 21205, USA. arking@jhmi.edu
Insights
Sudden cardiac death (SCD) is a growing concern, with rising rates linked to heart disease and heart failure. Genomic science offers new ways to identify genetic risks for life-threatening arrhythmias and develop better prevention strategies.
Area of Science:
- Genomics
- Cardiovascular Medicine
- Public Health
Background:
- Sudden cardiac death (SCD) remains a significant public health issue, with increasing rates despite overall decreased cardiac mortality.
- Coronary disease and heart failure are major predisposing conditions for SCD.
- Current methods for identifying high-risk patients and preventing SCD are limited, especially in subclinical heart disease populations.
Purpose of the Study:
- To review advances in genomic science for understanding and preventing SCD.
- To explore novel bioinformatic and genetic screening methods for identifying SCD risk.
- To discuss the application of genome-wide analyses for arrhythmia susceptibility in common cardiac conditions.
Main Methods:
- Review of genomic science advancements relevant to SCD.
- Discussion of bioinformatic approaches for gene/pathway identification.
- Exploration of high-density genome-wide SNP analyses for arrhythmia susceptibility.
Main Results:
- Genomic science offers novel bioinformatic and screening tools to identify candidate genes and functional genetic elements related to SCD.
- Genome-wide SNP analyses can investigate genetic contributions to arrhythmia susceptibility in common SCD forms.
- Advances in genomics provide new strategies for identifying susceptibility in common cardiac phenotypes.
Conclusions:
- Genomic approaches are crucial for advancing the understanding of SCD, particularly in rare and common heart diseases.
- Novel strategies derived from genomic research hold promise for identifying new therapeutic targets for SCD prevention.
- Integrating genomic insights into cardiovascular medicine is essential for tackling the public health challenge of SCD.
Abstract:
Sudden cardiac death (SCD) remains a public health problem of major magnitude. Contrary to earlier expectations, and despite decreased overall cardiac mortality, SCD rates appear to be rising in concert with escalating global prevalence of coronary disease and heart failure, the two major conditions predisposing to SCD. With the exception of the implantable defibrillator, there are few effective approaches to SCD prevention and even fewer clues concerning patient phenotypes predisposed to life-threatening arrhythmias. Clinical variables such as ejection fraction predict mortality but are not sensitive enough to identify many high SCD risk patients. The predictive power of autonomic dysregulation and markers such as lipid levels, hypertension, diabetes, and smoking is quite low in subclinical heart disease, the population in which the majority of SCDs occur. This review addresses advances in genomic science applicable to the SCD public health problem in both rare and common forms of heart disease. These include novel bioinformatic approaches to both identify candidate genes/pathways and identify previously unknown functional genetic elements, as well as methods to comprehensively screen these elements. We also discuss the possibility of applying high-density genome-wide SNP analyses to examine genetic contributions to arrhythmia susceptibility in community-based, case-control studies of common forms of SCD. The development of novel strategies to identify contributors to susceptibility in common cardiac phenotypes is most likely to lead to new and relevant therapeutic targets for SCD.
More Related Videos
Related Concept Videos
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Pharmacogenomics: Identification of New Drug Targets
Genomics
Mechanism of Cardiac Arrhythmias
Animal Mitochondrial Genetics
Cardiomyopathy III: Hypertrophic Cardiomyopathy

