Acute cardiac care & resuscitationCase-control study

Population-Based Analysis of Rare Genetic Variants in Sudden Cardiac Arrest

JACC Clin ElectrophysiolPublished

  • Gene-collapsing case-control analysis
  • population-based
  • whole genome sequencing
  • 2 community-based studies in Oregon and California

Authors' conclusion

Specific disease-causing variants identified in 15 arrhythmia and cardiomyopathy genes were associated with an increased risk of SCA in the community. These findings will enable targeted SCA prevention strategies in family members harboring variants in these SCA-associated genes.

Study context

Population
Survivors and nonsurvivors of sudden cardiac arrest (SCA) in the general population, compared with control participants from the ARIC (Atherosclerosis Risk in Communities) studyPatients with SCA 3,264 · Control participants (ARIC) 13,258
Participants
3,264 vs 13,258
Comparison
Patients with SCA compared with control participants from the ARIC study
  • SCA groupn = 3,264
  • ARICn = 13,258reference

Main finding

As reported in the abstract

Disease-causing (likely pathogenic or pathogenic) variants in 63 candidate genes associated with arrhythmia/cardiomyopathy

Odds ratio

1.59

P < 0.001

Events by group

Observational data: associations, not effects.

Further findings

OutcomeValuesORP value
Disease-causing variant in the subgroup of patients with a nonischemic SCA (subgroup)Nonischemic SCA subgroup 6.1%2.52P < 0.001

Genes associated with an increased risk of SCA

Genes identified
15
ACTC1, BAG3, CACNA1C, DES, DSG2, DSP, FLNC, KCNH2, KCNQ1, LMNA, MYBPC3, MYH7, PKP2, RBM20, and TTN

Original publication

Population-Based Analysis of Rare Genetic Variants in Sudden Cardiac Arrest. JACC Clin Electrophysiol. Published 20 May 2026. doi:10.1016/j.jacep.2026.03.016

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