Heart failure & cardiomyopathies

Body surface potential mapping detects early disease onset in plakophilin-2-pathogenic variant carriers

EuropacePublished Cross-sectional study

Authors' conclusion

Assessing depolarization and repolarization by BSPM may help in the quest for early detection of disease in variant carriers since abnormal QRS- and/or STT-patterns were found in variant carriers with a normal 12 lead ECG.

Study context

Population
PKP2-pathogenic variant carriers (arrhythmogenic right ventricular cardiomyopathy (ARVC)) and control subjects
Participants
42 vs 25
Exposure
PKP2-pathogenic variant carriers vs controls
  • PKP2-pathogenic variant carriersn = 42
  • Controlsn = 25reference
Outcome
Abnormal QRS- and/or STT-patterns on BSPM isopotential map series
Methodological detailsRight ventricular (RV) echocardiographic deformation imaging, Subject-specific CT/MRI-based heart/torso models with electrode positions
  • RV echocardiographic deformation imaging
  • Subject-specific CT/MRI-based heart/torso models with electrode positions

Main finding

As reported in the abstract

Variant carriers with abnormal patterns (5 distinct abnormal QRS-patterns, 4 distinct abnormal STT-patterns)

31 of 42

Of these 31, no depolarization or repolarization abnormalities on 12-lead electrocardiogram (ECG)

17

Pre-clinical variant carriers with normal RV-deformation patterns

12 of 19

Of these 12, abnormal QRS- and/or STT-patterns

7 of 12

Observational data: associations, not effects.

Further findings

Pre-clinical variant carriers with normal RV-deformation patterns

Pre-clinical carriers with normal RV-deformation patterns
12 of 19
Of these, abnormal QRS- and/or STT-patterns on body surface potential mapping (BSPM)
7/12

Original publication

Body surface potential mapping detects early disease onset in plakophilin-2-pathogenic variant carriers. Europace. Published 11 July 2023. doi:10.1093/europace/euad197

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