Long-QT Syndrome
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In Memoriam
Long-QT Syndrome Stories
Andersen syndrome (AS) is defined as a rare, inherited disorder characterized by periodic paralysis, skeletal developmental abnormalities and a prolonged QT-interval with ventricular arrhythmias.
It recently has been
established that AS is caused by mutations in the gene KCNJ2.
Because these findings support the notion that AS is a
disorder of myocellular repolarization, it has been classified as LQT7. To
date, five genes that cause the inherited forms of long QT syndrome have
been identified: KCNQ1 (LQT1), hERG (KCNH2,
LQT2), SCN5A (LQT3), KCNE1 (LQT5), and KCNE2
(LQT6).
Similar to the other forms
of inherited LQTS, the primary cardiac manifestation of AS was
a prolonged QT-interval, identified in 71% of all gene carriers. The
mean corrected QT-interval (QTc) of male and female probands with
AS was 479 and 493 ms, respectively, compared with 497 and 510 ms
for males and females with other forms of LQTS.
While a prolonged
QT-interval was present in most KCNJ2 mutation carriers, the
ventricular arrhythmias manifested by these individuals were
clearly distinct from the other forms of inherited LQTS.
Therefore, AS is considered a subtype of long QT syndrome. However, this proposal is controversial at present.
Source: Functional and clinical characterization of KCNJ2 mutations associated with LQT7 (Andersen Syndrome): J. Clin. Invest. 110:381-388 (2002).