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Current-centric classification of long-QT syndrome susceptibility genes[1]

Current-centric classification of long-QT syndrome susceptibility genes[1]
The clinical phenotypes resulting from the abnormal ventricular cardiac action potential depolarization or repolarization are grouped according to the specific current perturbed by an underlying genetic defect (refer to graphic’s key, above). The graphic shows both mutations that confer a loss of function to the specified current and mutations that confer a gain of function (refer to graphic’s key, above). Solid lines indicate those disorders that are autosomal dominant, whereas dashed lines indicate those disorders that are autosomal recessive. Thin outlines indicate nonsyndromic genotypes and thick outlines represent multisystem genotypes.
COTS: cardiac-only Timothy syndrome; LQTS: long-QT syndrome; ABS: ankyrin-B syndrome; JLNS: Jervell and Lange-Neilson syndrome; ICa,L: L-type calcium current; TKO: triadin knockout syndrome; INa: cardiac sodium current; IKS: slow-component of the delayed rectifier potassium current; IKr: rapid component of the delayed rectifier potassium current; IKAch: G-protein-coupled inwardly rectifying potassium current; IK1: inwardly rectifying potassium current.
Reference:
  1. Giudicessi JR, Ackerman MJ. Determinants of incomplete penetrance and variable expressivity in heritable cardiac arrhythmia syndromes. Transl Res 2013; 161:1. Original figure modified for this publication. Illustration used with the permission of Elsevier Inc. All rights reserved.
From: Giudicessi JR, Ackerman MJ. Calcium revisited: New insights into the molecular basis of long-QT syndrome. Circ Arrhythm Electrophysiol 2016; 9:1. DOI: 10.1161/CIRCEP.116.002480. Copyright © 2016 American Heart Association. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
Graphic 120655 Version 2.0

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