Arrhythmias & electrophysiologyCohort study

Clinical Diagnosis of Calcium Release Deficiency Syndrome in a Family With Sudden Cardiac Death

JAMA CardiolPublished

  • Case series
  • single-centre
  • tertiary referral centre
  • 5-generation pedigree
  • Data gathered and analysed June 2024 through March 2025

Authors' conclusion

This case series provides the first clinical application of the CRDS provocation test in a family with a history of unexplained sudden cardiac death.

Study context

Population
Large French Canadian family with extensive history of unexplained sudden cardiac arrest and death; multidisciplinary cardiac genetics clinic, CanadaRyanodine receptor (RYR2) variant carriers
Participants
5 participants
Outcome
Diagnostic T-wave augmentation following burst pacing or spontaneous atrial or ventricular arrhythmia

Main finding

As reported in the abstract

Diagnostic T-wave augmentation consistent with calcium release deficiency syndrome (CRDS)

RYR2 variant carriers with diagnostic T-wave augmentation after pacing or spontaneous arrhythmia

5

Observational data: associations, not effects.

Further findings

Functional studies of novel RYR2-p.Glu336Gly variant

Variant confirmed to result in loss of function; first such variant within a hot spot previously restricted to gain-of-function variants

Original publication

Clinical Diagnosis of Calcium Release Deficiency Syndrome in a Family With Sudden Cardiac Death. JAMA Cardiol. Published 1 July 2026. doi:10.1001/jamacardio.2026.1067

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