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Cardiomyopathies
Genetics
10
Medical
Graduate
11/15/2012

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Cards

Term
Familial Hypertrophy
Definition
-Cardiac hypertrophy without increase load -Problem with septum -Disease of sarcomere 1. beta-myosin-heavy chain (b-MyHC) 2. Cardiac Troponin T (cTnT) 3. Cardiac myosin-binding protein C (cMyBP-C)
Term
Dilated (DCM)
Definition
LV chamber enlargement without increased LV wall thickness
-Disease of cardiac cytoskeleton, including sarcomere

Can't transmit force-->LV enlargement
Term
Glycogen (GCM)
Definition
Pompe- alpha1,4-glucosidase
Danon- LAMP- lysosome associated membrane protein
Fabry- alpha-galactosidease A (GLA)

Myocyte vaculoles fill with glycogen
Term
Restrictive (RCM)
Definition
*Bi-atrial enlargement causing impaired vnetricular filling
-Normal or decreased volume of both ventricles

Cardiac Troponin I
Term
Arrhythmogenic RV Cardiomyopathy (ARVC)
Definition
Desmosome
*Progressive loss of myocytes in RV with fatty or fibrofatty tissue replacement
Term
Long QT syndrome
Definition
Increased time of polarization
*Decrease K efflux:
a. LQTS1- KCNH2
B. LQTS2- HERG
-Increased Na influx
a.SCN5a
-Increased Ca influx

Avoid stress, exercise, and swimming
Take beta-blockers
Term
Short QT Syndrome
Definition
Shortened QT-interval
-Fast ventricular repol.-->may lead to sudden death
-Gain of function mutations in KCNH2, KCNQ1, KCNJ2 causes overactive K efflux
Term
Brugada Syndrome
Definition
Repol. before depol. complete due to influx of Na

SCN5A-pore forming cardiac Na channel
SCN1B- auxiliary subunits

Ajmaline/Flecainide test- induce inhibition of KC-->normal heart shouldn't be greatly affected
Term
Cardiac conductio ndisease/sinus node dysfunction/sick sinus syndrome
Definition
Exreme case of BrS
Atrium unable to absorb signal
Defect in either SA node or transmission via atrium

*HCN4
-SCN5A
-SCN1B
Term
Catecholaminergic polymorphic ventricular tachycardia
Definition
Excess Ca:
1. Leaking from SR-->ventricular tachycardia due to adrenergic stimuli
2. Most common- Ry-R2 and CASQ2 (ryanodine receptor channel and calsequestrin)-->too much Ca and prolonged sarcomere contraction
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