Genetic Mutation in Korean Patients of Sudden Cardiac Arrest as a Surrogating Marker of Idiopathic Ventricular Arrhythmia.
10.3346/jkms.2013.28.7.1021
- Author:
Myoung Kyun SON
1
;
Chang Seok KI
;
Seung Jung PARK
;
June HUH
;
June Soo KIM
;
Young Keun ON
Author Information
1. Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. oykmd123@gmail.com
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Idiopathic Ventricular Arrhythmia;
Death, Sudden, Cardiac;
Mutation;
Cardiac Ion Channel
- MeSH:
Adolescent;
Adult;
Aged;
Arrhythmias, Cardiac/genetics;
*Death, Sudden, Cardiac;
Ether-A-Go-Go Potassium Channels/genetics;
Female;
Genetic Markers;
Genetic Predisposition to Disease;
Genetic Variation;
Heart/physiology;
Heart Conduction System/abnormalities;
Humans;
KCNQ1 Potassium Channel/*genetics;
Male;
Middle Aged;
NAV1.5 Voltage-Gated Sodium Channel/*genetics;
Republic of Korea;
Tachycardia, Ventricular/*genetics;
Ventricular Fibrillation/*genetics;
Young Adult
- From:Journal of Korean Medical Science
2013;28(7):1021-1026
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mutation or common intronic variants in cardiac ion channel genes have been suggested to be associated with sudden cardiac death caused by idiopathic ventricular tachyarrhythmia. This study aimed to find mutations in cardiac ion channel genes of Korean sudden cardiac arrest patients with structurally normal heart and to verify association between common genetic variation in cardiac ion channel and sudden cardiac arrest by idiopathic ventricular tachyarrhythmia in Koreans. Study participants were Korean survivors of sudden cardiac arrest caused by idiopathic ventricular tachycardia or fibrillation. All coding exons of the SCN5A, KCNQ1, and KCNH2 genes were analyzed by Sanger sequencing. Fifteen survivors of sudden cardiac arrest were included. Three male patients had mutations in SCN5A gene and none in KCNQ1 and KCNH2 genes. Intronic variant (rs2283222) in KCNQ1 gene showed significant association with sudden cardiac arrest (OR 4.05). Four male sudden cardiac arrest survivors had intronic variant (rs11720524) in SCN5A gene. None of female survivors of sudden cardiac arrest had SCN5A gene mutations despite similar frequencies of intronic variants between males and females in 55 normal controls. Common intronic variant in KCNQ1 gene is associated with sudden cardiac arrest caused by idiopathic ventricular tachyarrhythmia in Koreans.
