Genetics Flashcards

1
Q

What can happen to the heart when someone has downs?

A

Atrioventicular septal defects

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2
Q

What percentage of cases of Downs have atrioventricular septal defects?

A

15%

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3
Q

What type of mutation is |Downs?

A

copy number variation

trisomy 21

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4
Q

What is a warning sign that can be seen in an ultrasound for downs and heart disease?

A

Nuchal translucency

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5
Q

What is a cystic hygroma?

A

A cystic hygroma is a cyst, or a group of cysts, found mostly in the neck. They are caused by an error in the development of lymph sacs and lymph vessels as the baby develops during pregnancy.

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6
Q

What are the cardiac implications for turners syndrome?

A

Coarctication of aorta

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7
Q

What are the cardiac implications for Noonan syndrome?

A

Pulmonary stenosis

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8
Q

What gene is responsible for Noonan syndrome?

A

PTPN11

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9
Q

What are the cradiac implications of costello syndrome?

A

Cardiomyopathy

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10
Q

What are the cardiac implications for 22q11 deletion syndrome?

A

Cardiac malformation

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11
Q

What does 22q11 deletion syndrome encompass?

A

Digeorge

Shprintzen

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12
Q

what are the cardiac implications of Williams syndrome?

A

Aortic stenosis

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13
Q

What are some cardiovascular connective tissue disease?

A
  • Marfan
  • Loeys-Dietz
  • Ehlers Danlos
  • FTAA
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14
Q

What is the inheritance type of Marfan Syndrome?

A

-Autosomal Dominant

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15
Q

What gene and chromosome is affected in Marfans?

A
  • Fibrillin 1 gene

- Chromosome 15q21

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16
Q

What is the cardiovascular implications of Marfans syndrome?

A

-Aortic dissection /dilation

17
Q

What happens to eyes in Marfans?

A

Ectopia Lentis

18
Q

What is the optimal management of Marfan?

A

Annual
-Echocardiogram

  • Beta blockers
  • Angiotensin 2 receptor blockers

Prophyllactic aortic surgery

19
Q

What happens is Long QT syndrome?

A

Myocytes take longer to recover-presents in arrhythmia

20
Q

how does Long QT syndrome present itself ?

A

Syncope
Seizure
Sudden death

21
Q

What mutation can be seen when there is a notched T-wave pattern on 12 lead ECG on arousal?

A

KCNH2

22
Q

What mutation can be seen with a biphasic ECG t wave pattern when sleep or brady?

A

SCN5A

23
Q

What is the prevalence of Hypertrophic cardiomyopathy?

A

1/500