Arrhythmias & electrophysiology

High prevalence and distinctive clinical features of LMNA-associated atrioventricular block in young patients

Am Heart JPublished Cross-sectional genetic study

Authors' conclusion

LMNA variants are predominant in genotype positive patients and relevant to distinctive phenotypic properties.

Study context

Population
Patients aged <55 years with high-degree atrioventricular block (AVB) of unknown etiology
Participants
41 patients
Exposure
LMNA variant carriers vs patients without LMNA variants
  • LMNA variantsn = 11
Outcome
Genetic variants contributing to AVB of unknown reasons

Main finding

As reported in the abstract

Genetic variants identified

Genetic variants identified

20

20/41, 48.8%

LMNA variants among genotype-positive

11

11/20, 55%

LMNA variants: pathogenic / likely pathogenic / uncertain significance

3 / 4 / 3

Observational data: associations, not effects.

Further findings

Age at onset of AVB

P = 0.043

Family history of cardiac events

P < 0.000

Atrial arrhythmias

P < 0.000

Ventricular arrhythmias

P < 0.000

Left atrium size

P = 0.043

LV size

P = 0.036

Original publication

High prevalence and distinctive clinical features of LMNA-associated atrioventricular block in young patients. Am Heart J. Published 3 December 2023. doi:10.1016/j.ahj.2023.11.017

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