Arrhythmias & electrophysiologyCase-control study

Circulating Autoantibodies Targeting TREK-1 in Patients With Short-Coupled Ventricular Fibrillation

CirculationPublished

  • Case-control study
  • prospective
  • single-centre
  • sex-, age- and ethnicity-matched healthy controls

Authors' conclusion

Patients with SCVF harbor circulating autoantibodies against the cardiac TREK-1 channel.

Study context

Population
Cardiac arrest survivors diagnosed with short-coupled ventricular fibrillation (SCVF) or idiopathic ventricular fibrillation (IVF), 2019–2023, single inherited arrhythmia clinic in Canada
Comparison
SCVF vs IVF vs healthy controls
Outcome
Circulating autoantibodies targeting cardiac ion channels (peptide microarray)

Main finding

As reported in the abstract

Anti-TREK-1 autoantibodies

SCVF

50%

7 events

Anti-TREK-1 autoantibodies in SCVF
P = 0.049

Observational data: associations, not effects.

Further findings

OutcomeValues
VF recurrence in SCVF probands · median 4.3 months (IQR 0.3-20.7)SCVF 79%

Patch clamp function of anti-TREK-1 autoantibodies

Channel-activating, antagonized by quinidine in HEK293 cells and hiPSC-derived cardiomyocytes

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Circulating Autoantibodies Targeting TREK-1 in Patients With Short-Coupled Ventricular Fibrillation. Circulation. Published 24 September 2024. doi:10.1161/circulationaha.124.070284

Summarised from the published abstract; every number is checked against it