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Original Articles The Importance of Genetic Counseling, DNA Diagnostics, and Cardiologic Family Screening in Left Ventricular Noncompaction Cardiomyopathy Yvonne M. Hoedemaekers, MD; Kadir Caliskan, MD; Michelle Michels, MD; Ingrid Frohn-Mulder, MD; Jasper J. van der Smagt, MD; Judith E. Phefferkorn, RN; Marja W. Wessels, MD, PhD; Folkert J. ten Cate, MD, PhD; Eric J.G. Sijbrands, MD, PhD; Dennis Dooijes, PhD; Danielle F. Majoor-Krakauer, MD, PhD Background—Left ventricular (LV) noncompaction (LVNC) is a distinct cardiomyopathy featuring a thickened bilayered LV wall consisting of a thick endocardial layer with prominent intertrabecular recesses with a thin, compact epicardial layer. Similar to hypertrophic and dilated cardiomyopathy, LVNC is genetically heterogeneous and was recently associated with mutations in sarcomere genes. To contribute to the genetic classification for LVNC, a systematic cardiological family study was performed in a cohort of 58 consecutively diagnosed and molecularly screened patients with isolated LVNC (49 adults and 9 children). Methods and Results—Combined molecular testing and cardiological family screening revealed that 67% of LVNC is genetic. Cardiological screening with electrocardiography and echocardiography of 194 relatives from 50 unrelated LVNC probands revealed familial cardiomyopathy in 32 families (64%), including LVNC, hypertrophic cardiomyopathy, and dilated cardiomyopathy. Sixty-three percent of the relatives newly
Circulation: Cardiovascular Genetics – Wolters Kluwer Health
Published: Jun 1, 2010
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