pkp2基因突变致非压实性心肌病1例

S. Komissarova, N. Rineiskaya, N. Chakova, S. Niyazova, T. Dolmatovich
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摘要

非压实性心肌病的临床病程特点、预后甚至诊断仍有争议。这种疾病表型的多样性和遗传异质性决定了需要对患有这种病理的患者进行详细的临床和分子遗传学检查。本文介绍了一例左心室不压实扩张型患者的临床观察,慢性心力衰竭的进展,以及心室节律和传导障碍的存在,需要植入心脏再同步治疗除颤器(CRT-D)。患者在杂合状态下发现PKP2基因c. 1892A>G (p.Tyr631Cys, rs1060501183)错义突变。本文讨论了致心律失常性右室心肌病的鉴别诊断和治疗策略。
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CLINICAL CASE OF NON-COMPACTION CARDIOMYOPATHY IN A PATIENT WITH PKP2 GENE MUTATION
The features of the clinical course of non-compaction cardiomyopathy, its prognosis and even its diagnosis are still the subject of discussion. The variety of phenotypes of this disease and genetic heterogeneity dictates the need for detailed clinical and molecular genetic examination of patients with this pathology. The article presents a clinical observation of a patient with a dilated phenotype of left ventricular non-compaction, progression of chronic heart failure, as well as the presence of ventricular rhythm and conduction disorders that required the implantation of cardiac resynchronization therapydefibrillator (CRT-D). The patient was found to have a missense mutation c. 1892A>G (p.Tyr631Cys, rs1060501183) in PKP2 gene in a heterozygous state. The issues of differential diagnostics with arrhythmogenic right ventricular cardiomyopathy and treatment strategies for the disease were discussed.
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