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Published on: January 16, 2019
Estimation of Incidence and Prevalence of Pediatric Channelopathies in a Mediterranean Population Based on a
Alena Bagkaki1, John Papagiannis2, Aris Anastasakis2
1School of Medicine, University of Crete, 71 003 Heraklion, Greece.
Insights
Pediatric channelopathies, rare inherited heart conditions, show an incidence in Crete comparable to other regions, with Long QT syndrome being most common. Further research is needed to understand regional variations and improve screening programs.
Area of Science:
- Cardiology
- Genetics
- Epidemiology
Background:
- Channelopathies are rare inherited cardiac diseases causing life-threatening arrhythmias.
- Epidemiological data on pediatric channelopathies are limited, especially in Mediterranean populations.
- This study investigates the epidemiology of channelopathies in children on Crete, Greece.
Purpose of the Study:
- To evaluate the epidemiology of pediatric channelopathies in a Mediterranean population.
- To determine the incidence and prevalence of channelopathies in children on Crete.
- To identify common types and diagnostic patterns of pediatric channelopathies.
Main Methods:
- A retrospective study was conducted over 24 years (2002-2025).
- Included were children under 18 years diagnosed with channelopathies at a tertiary pediatric cardiology unit.
- Disease-specific diagnostic criteria were used for enrollment.
Main Results:
- 43 children from 32 families were identified, with an annual incidence of 1.43 per 100,000 children.
- Long QT syndrome (LQTS) was predominant (38 cases), with rare Brugada syndrome and catecholaminergic polymorphic tachycardia.
- Genetic testing was positive in 77% of cases, with LQT2 and LQT1 being the most frequent LQTS genotypes.
Conclusions:
- The incidence of pediatric channelopathies in Crete is comparable to international data.
- Regional clusters of increased incidence were observed, suggesting potential environmental or genetic factors.
- Further epidemiological studies are crucial for understanding regional/ethnic differences and optimizing screening programs.
Background:
Channelopathies represent a heterogeneous group of rare inherited cardiac diseases associated with life-threatening arrhythmias. Our knowledge of their epidemiology in childhood is limited. The aim of this study is to evaluate the epidemiology of pediatric channelopathies on a Mediterranean island (Crete, Greece).
Methods:
Retrospective study of children < 18 years followed in the Regional Tertiary Pediatric Cardiology Unit during a 24-year period (2002-2025) and meeting the disease-specific diagnostic criteria.
Results:
A total of 43 children (32 families) were enrolled, corresponding to an average annual incidence of 1.43 (95% C.I.: 1.03-1.92) and a cumulative prevalence of 31.1 (95% C.I.: 22.1-42.5) cases per 100, 000 children, with significant regional incidence differences. Long QT syndrome (n = 38) was predominant; rare cases of Brugada syndrome (n = 3) and Catecholaminergic polymorphic tachycardia (n = 2) were recorded. The diagnosis was based on symptomatic presentation (n = 15, 35%), while asymptomatic patients (n = 28, 65%) were diagnosed during cascade family screening (n = 22, 51%) and preparticipation screening (n = 6, 14%). They represented the first diagnosis within affected families (index cases) in 21/43 (49%) of cases. Genetic testing was performed in 35/43 (81%) channelopathy cases and it was positive in 33/43 (77%) of them, specifically in 30 out of 38 (79%) LQT cases with a genotype of LQT2 in 15 (39%), LQT1 in 10 (26%), LQT3 in one (3%) and LQT5 in two (5%) cases.
Conclusions:
The incidence of pediatric channelopathies on the Mediterranean island of Crete seems comparable to that reported in the literature, with regional clusters of significantly increased incidence. Further study of the epidemiology of pediatric channelopathies is needed, to document any regional or ethnic differences and for the best design of large-scale screening programs.
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