Syndromes: other Flashcards
Supervalvular aortic stenosis, pulmonic stenosis, hyperCa, friendly/anxious personality, stellate blue eyes, round cheeks, wide mouth
Williams syndrome, 7q11.23 deletion
HLHS/LV noncompaction, platelet dysfunction, immunodeficiency, ID, flat nasal root w/hypertelorism, down slanting PF, full brow
Jacobsen syndrome, 11q deletion
CHD (1/4 with LV noncompaction), structural brain abnormalities w/seizure and severe ID, deep-set eyes, straight eyebrows, thin upper lips, pointed nose
1p36 deletion syndrome
TOF/septal defects, distal pulmonary stenosis, arterial narrowing elsewhere, cholestasis/liver failure
Alagille syndrome: JAG1, NOTCH2
“Swiss cheese” atrial septum/common atrium, arrhythmia/heart block, radial ray defects
Holt-Oram syndrome: TBX5, SALL4
Complex CHD, immunodeficiency, ID, elongated eyes w/lateral eversion, long ears
Kabuki syndrome: XL, KMT2D, KDM6A
Double-outlet right ventricle, vision/hearing loss risk, GU m malformation, choanal atresia
CHARGE syndrome: CHD7
PS, HCM, or ASD, pectus, hypertelorism, down slanting PF, low-set ears, short stature
Noonan syndrome, AD RAS/MAPK
Novel treatment of RASopathies
MEK inhibitor - improves HCM, arrhythmia, lymphatic malformation; requires several years of treatment minimum
Most common genes causing familial hypertrophic cardiomyopathy
MYH7, MYBPC3 (40% each)
Most common genes causing familial hypertrophic cardiomyopathy
LMNA, MYH7 (up to 8%), TNNT2, SCN5A (up to 4%)
Most common genes causing ARVD/C
PKP2, DSG2, DSP, DSC2
Syndromes associated with cardiomyopathy
Rasopathies
BWS (HCM)
Chromosomal
Alstrom (DCM) - w/retinal dystrophy, hearing loss
Most common IEMs with CM
HCM: Pompe & Mito ~30%
DCM: 35% mito, 25% Barth, 10% carnitine def
Neuromuscular causes of CM
Friedrich’s ataxia, Duchenne/Becker MD
Aniridia gene
PAX6 (AD LOF aniridia, AR anophthalmia), WAGR (11p13 gene deletion + 2nd hit in WT1 loss)
Corneal clouding
MPS I, IV, VI, VII