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Published on: September 28, 2016
Ion channel diseases in children: manifestations and management
1Department of Cardiology and Molecular Cardiology Laboratory, IRCCS Fondazione Policlinico S. Matteo and University of Pavia, Pavia, Italy. pjqt@compuserve.com
Insights
This review details the management of cardiac ion channel diseases, including long QT syndrome (LQTS). It covers current and emerging therapies, emphasizing gene-specific approaches and the challenges of implantable cardioverter defibrillators in children.
Area of Science:
- Cardiology
- Genetics
- Pediatrics
Background:
- The discovery of LQTS genes in 1995 increased awareness of cardiac ion channel diseases.
- Diagnoses of these complex and potentially lethal conditions are becoming more frequent.
- There is an increasing need for comprehensive management strategies.
Purpose of the Study:
- To provide practical insights into the management of cardiac ion channel diseases.
- To update clinicians on current therapeutic approaches and recent advances.
- To address the specific challenges in pediatric patients.
Main Methods:
- Review of current literature on cardiac ion channel disease management.
- Focus on genetic bases, prevalence, and therapeutic strategies.
- Consideration of traditional, novel, and gene-specific treatments.
Main Results:
- Discussion of established and emerging therapies for LQTS and related disorders.
- Exploration of gene-specific management advancements.
- Analysis of implantable cardioverter defibrillator (ICD) use in children, including quality of life impacts and side effects.
Conclusions:
- Empowering cardiologists to manage pediatric cardiac ion channel disease patients with increased confidence.
- Facilitating better understanding of the unique medical issues associated with these disorders.
- Guiding optimal treatment decisions for improved patient outcomes.
Purpose Of Review:
The identification of the first genes for the long QT syndrome (LQTS) in 1995 has spurred awareness among clinical cardiologists of cardiac ion channel diseases, resulting in more frequent diagnoses. Hence, there is a growing need to know more about the management of these complex and often lethal diseases. The present review addresses these practical issues.
Recent Findings:
Besides information on the genetic bases and prevalence, this review focuses primarily on the current state of therapy and management. This ranges from traditional and valid therapies to newer approaches still requiring validation to recent advances in gene-specific management. The significant problems generated by the growing use of the implantable cardioverter defibrillator (ICD) in children with the attendant impact on their quality of life are considered and attention is given to effective therapies which lessen the need to resort to an often life-saving therapy which in children, however, is burdened by major negative side-effects.
Summary:
The findings described will allow practicing cardiologists to face their young patients affected by cardiac ion channel diseases with greater confidence to reach the best treatment and to have a better understanding of the special medical problems posed by these intriguing disorders.
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