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Published on: September 26, 2018
Plan of Action for Inherited Cardiovascular Diseases: Synthesis of Recommendations and Action Algorithms
Roberto Barriales-Villa1, Juan Ramón Gimeno-Blanes2, Esther Zorio-Grima3
1Unidad de Cardiopatías Familiares, Servicio de Cardiología, Complexo Hospitalario Universitario de A Coruña, Instituto de Investigación Biomédica de A Coruña (INIBIC), Servizo Galego de Saúde (SERGAS), Universidade da Coruña, A Coruña, Spain.
Insights
Inherited cardiovascular diseases have a genetic basis and can lead to sudden cardiac death. Advances in genetic sequencing aid diagnosis and treatment strategies for these familial conditions.
Area of Science:
- Cardiology
- Genetics
- Medical Diagnostics
Background:
- Inherited cardiovascular diseases include cardiomyopathies, channelopathies, and aortic diseases.
- These conditions share a genetic basis, familial occurrence, varied clinical presentations, and risk of sudden cardiac death.
- Understanding the genetic underpinnings is crucial for effective management.
Purpose of the Study:
- To summarize recent advances in sequencing techniques for inherited cardiovascular diseases.
- To provide updated diagnostic algorithms and clinical practice recommendations.
- To discuss current controversial aspects and highlight the role of multidisciplinary care.
Main Methods:
- Review of recent advances in genetic sequencing technologies.
- Development of proposed diagnostic algorithms based on genetic findings.
- Synthesis of clinical practice recommendations and discussion of controversial topics.
Main Results:
- Significant progress in understanding the genetic basis of inherited cardiovascular diseases.
- Proposed diagnostic pathways incorporating genetic testing.
- Recommendations for multidisciplinary management strategies.
Conclusions:
- Genetic sequencing advancements are transforming the diagnosis of inherited cardiovascular diseases.
- Multidisciplinary referral units are essential for optimal patient care.
- Continued research and discussion are needed for controversial aspects in clinical practice.
Abstract:
The term inherited cardiovascular disease encompasses a group of cardiovascular diseases (cardiomyopathies, channelopathies, certain aortic diseases, and other syndromes) with a number of common characteristics: they have a genetic basis, a familial presentation, a heterogeneous clinical course, and, finally, can all be associated with sudden cardiac death. The present document summarizes some important concepts related to recent advances in sequencing techniques and understanding of the genetic bases of these diseases. We propose diagnostic algorithms and clinical practice recommendations and discuss controversial aspects of current clinical interest. We highlight the role of multidisciplinary referral units in the diagnosis and treatment of these conditions.
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