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Published on: August 8, 2022
[Experiences from a multidisciplinary cardiogenetic clinic]
Stellan Mörner1, Bo Carlberg2, Annika Rydberg3
1docent, överläkare, Centrum för kardiovaskulär genetik, Hjärtcentrum, Norrlands universitetssjukhus, Umeå.
Insights
A specialized center integrates multidisciplinary expertise for monogenic cardiovascular diseases, improving family care through coordinated genetic assessment and cascade screening. This model enhances patient outcomes and genetic counseling accessibility.
Area of Science:
- Cardiology
- Genetics
- Medical Management
Background:
- Monogenic cardiovascular diseases necessitate integrated genetic and clinical expertise for comprehensive family care.
- Coordinating genetic assessment, cascade screening, risk estimation, and treatment presents significant challenges.
- A dedicated center was established to centralize and enhance care for families affected by these conditions.
Purpose of the Study:
- To report on the experiences and working routines of a specialized center for monogenic cardiovascular diseases.
- To demonstrate the effectiveness of a multidisciplinary approach in managing these complex genetic conditions.
- To highlight the benefits of integrated care models for affected families.
Main Methods:
- Establishment of a center integrating clinical geneticists, cardiologists, angiologists, pediatric cardiologists, and genetic counselors.
- Implementation of family outpatient clinics for probands and at-risk relatives.
- Utilization of video conferencing for remote participation of geographically dispersed family members.
Main Results:
- The center has provided care for over 300 families, encompassing more than 2000 individuals.
- A seamless organizational structure facilitates collaboration among different medical specialties.
- Family outpatient clinics and teleconferencing have improved accessibility and engagement.
Conclusions:
- A multidisciplinary center is effective in providing comprehensive genetic and clinical care for monogenic cardiovascular diseases.
- Integrated care models, including family-focused clinics and remote consultations, significantly improve patient management.
- The reported experiences demonstrate a successful framework for managing hereditary cardiovascular conditions.
Abstract:
Comprehensive genetic and clinical care of families with monogenic cardiovascular diseases requires competences from different medical specialties. Genetic assessment, cascade screening, risk estimation, treatment and follow-up is difficult to cover. Fourteen years ago, a center for cardiovascular diseases was created in our hospital, to improve the care of families with monogenic cardiovascular diseases. At our center, clinical geneticists, cardiologists, angiologists, pediatric cardiologists and genetic counselors work together in a seamless organization, while still having different clinic affiliations. A key feature of this organization are the family outpatient clinics, where the proband and his/her relatives at genetic risk are invited to take part. When the family or relatives live in other parts of the country, they are invited to participate through video conference. In this paper we report our experiences and working routines from more than 300 families and 2000 individuals.
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