Arrhythmias & electrophysiology

Extensive cardiac involvement in laminopathies diagnosed in pediatric-aged patients: A single-center study

Heart RhythmPublished Retrospective cohort study

Authors' conclusion

Cardiac involvement, specifically cardiomyopathy and progressive conduction system abnormalities, were common in pediatric patients with pathogenic LMNA variants.

Study context

Population
Patients ≤18 years with genetically confirmed pathogenic lamin A/C (LMNA) variants, single centre, 2003–2024
Participants
12 patients
Outcome
Natural history of cardiac disease
Follow-up
Median 9.5 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Cardiac involvement · median follow-up 9.5 years (IQR, 7.0-13.3 years)
Cardiac manifestations
9 (75%)
Conduction abnormalities or arrhythmias (AV block, ventricular/atrial tachycardias)
9 (75%)
Cardiovascular implantable electronic devices placed
4 (33%)
Cardiomyopathy
2 (17%)
Heart transplant
1 (8%)
Death during study
2 (17%)

Observational data: associations, not effects.

Further findings

Baseline characteristics

Median age at diagnosis (IQR, 3.7-10.7 years)
4.9 years
Male
9 (75%)
Skeletal muscle involvement
10 (83%)

Original publication

Extensive cardiac involvement in laminopathies diagnosed in pediatric-aged patients: A single-center study. Heart Rhythm. Published 31 January 2025. doi:10.1016/j.hrthm.2025.01.034

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