genetics of disfunction Flashcards
Long QT syndrome
LoF due to defects in voltage gated Na and K channels
QT interval >.350; QTCc >.470
VFib (torsades de pointes)
LQT1
defective Ks channel exercise trigger
LQT2
Kr channel defective loud noise
LQT3
defective fast inactivating Na channel (increased inward NA)
sleep
how treat long QT?
beta blockers
LQT mutation effect
change AP firing
increased repol time–> vent dysrhythmia (DEAD)
prolonged AP
SQT syndrome
QTc < 320
GoF due to increased efflux of K; increases rate of 2&3
SQTS mutation
Afib, dizziness; Kr, Ks, K1
Afib mutations
LoF: K1.5V; connexin 40 (gap junction)
GoF: Kr, Ks, K1
Hypertrophic Cardiomyopathy
autosomal dominant
myosin and troponoin problems
cells disarray
Dilated cardiomyopathy
left ventricular enlargement, reduced EF
sarcomere component mutations
hypotrophy heart