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Updated: Jun 3, 2025

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Modern clinical genetics in cardiology.
Philippe Charron1, Julie Proukhnitzky2
1National Referral Center for Inherited Cardiac Diseases, Cardiology and Genetics Departments, Hôpital de la Pitié-Salpêtrière, Paris, France philippe.charron@aphp.fr.
Genetic discoveries enhance cardiovascular disease understanding and therapies. This review addresses practical challenges for cardiologists in applying genetic testing and counseling for Mendelian disorders in clinical practice.
Area of Science:
- Cardiovascular Medicine
- Medical Genetics
- Genomics
Background:
- Molecular genetics advances have transformed cardiovascular disease (CVD) understanding, revealing genetic underpinnings of pathogenesis and natural history.
- Significant knowledge gaps persist between rapid genetic discoveries, particularly in cardiovascular Mendelian disorders, and their clinical implementation.
- Cardiologists face practical challenges in integrating genetic insights into patient care.
Purpose of the Study:
- To review practical issues cardiologists encounter when suspecting Mendelian cardiovascular disorders.
- To provide key messages for integrating genetic counseling and testing into patient management.
- To align genetic approaches with precision medicine principles for cardiovascular care.
Main Methods:
- Literature review focusing on genetic counseling and testing in cardiovascular Mendelian disorders.
- Analysis of practical challenges in clinical application of genetic knowledge.
- Synthesis of recommendations for integrating genetic approaches into cardiology practice.
Main Results:
- Identification of key challenges in diagnosing and managing Mendelian cardiovascular diseases.
- Outline of essential considerations for genetic counseling and testing procedures.
- Framework for incorporating genetic data into personalized cardiovascular treatment strategies.
Conclusions:
- Bridging the gap between genetic knowledge and clinical practice is crucial for advancing cardiovascular medicine.
- Effective genetic counseling and testing are vital for managing Mendelian cardiovascular disorders.
- Precision medicine approaches, guided by genetic insights, offer innovative therapeutic avenues for cardiovascular patients.
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