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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[Inherited heart diseases and storage diseases with cardiac involvement]
Frauke S Czepluch1, Gerd Hasenfuß2
1Klinik für Kardiologie und Pneumologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland. f.czepluch@med.uni-goettingen.de.
Insights
Genetic factors are the primary cause of rare diseases, including many cardiovascular conditions. Early genetic diagnosis improves patient treatment effectiveness for conditions like arrhythmias and cardiomyopathies.
Area of Science:
- Cardiovascular Genetics
- Rare Genetic Diseases
- Human Genetics and Cardiology
Background:
- The majority of rare diseases stem from genetic origins.
- A significant portion of rare cardiovascular diseases are genetically determined.
- Expertise in both human genetics and clinical cardiology is crucial for effective cardiogenetic diagnostics.
Purpose of the Study:
- To highlight the importance of genetic diagnosis in rare cardiovascular diseases.
- To emphasize the link between monogenic causes and specific heart conditions.
- To underscore the benefits of early genetic diagnosis for patient management.
Main Methods:
- Review of recent advancements in elucidating genetic causes of heart diseases.
- Focus on monogenic causes of specific arrhythmias and cardiomyopathies.
- Discussion of rare storage diseases with cardiac manifestations, such as Fabry disease and amyloidosis.
Main Results:
- Genetic underpinnings of numerous heart diseases have been increasingly identified.
- Certain arrhythmias and cardiomyopathies are confirmed to have monogenic origins.
- Early genetic diagnosis facilitates more effective patient treatment strategies.
Conclusions:
- Genetic diagnosis is pivotal for managing rare cardiovascular diseases.
- Understanding monogenic causes aids in targeted cardiogenetic diagnostics.
- Timely genetic identification of conditions like Fabry disease and amyloidosis is essential despite diagnostic challenges due to variable symptoms.
Abstract:
Rare diseases mostly have a genetic cause. Many rare cardiovascular diseases also have a genetic cause. For target-oriented cardiogenetic diagnostics, expert knowledge in human genetics as well as in clinical cardiology is needed. In recent years, the genetic cause of a number of heart diseases have been, at least in part, elucidated. Especially, certain arrhythmias and cardiomyopathy forms have a monogenetic cause. An early genetic diagnosis means that patients can be treated more effectively. Rare storage diseases also usually have a genetic cause and can manifest themselves in the heart; prominent examples are Fabry disease and amyloidosis. As patients with Fabry disease or amyloidosis suffer from a diverse and variable symptomatology, the correct diagnosis is often difficult.
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