Table 3:
Cardiac manifestations in subjects with CGL4.
Family ID | ID | Age of onset | Type of arrhythmia and other cardiac findings/ comments | Sudden death history in the siblings/family | Pacemaker implantation/sympathectomy |
---|---|---|---|---|---|
1 | P1 | At age 15† | Non-sustained episodes of VT and polymorphic VES beats; catecholaminergic polymorphic VT; episodes of rapid atrial fibrillation | No | ICD at age 16 |
2 | P2 | At age 13 | Non-sustained VT and supraventricular tachycardia episodes consistent with atrial tachycardia; VT with syncope | No | No |
3 | P3 | At age 4 | Polymorphic VT (age 6); HCM (age 4) | No | No |
4 | P4 | At age 13 | Polymorphic VT (age 15); HCM (age 13) | No | No |
5 | P5 | At age 9 | VT | No | No |
6 | P6 | No cardiac work up | No cardiac work up | Yes | No |
7 | P7 | No | Screened by Holter ECG | No | No |
8 | P8 | At 18 months | Wolff-Parkinson-White syndrome (18 months); non-sustained VT and supraventricular tachycardia episodes (age 5); preexited atrial tachycardia | No | No |
P9 | No | Screened by ECG | No | No | |
9 | P10 | At age 2 | Short runs of VT (age 2); VES and PAC (age 7) | No | No |
P11 | No | Screened by ECG | No | No | |
10 | P12 | No | Screened by ECG | No | No |
P13 | No | Screened by ECG | No | No | |
11 | P14 | At age 36 | Extra systoles; sinus tachycardia | Yes | No |
12 | P15 | At age 14 | Non-sustained VT | Unknown | ICD at age 14 |
13 | P16 | At age 17 | Polymorphic premature VES. ventricular couplets; non-sustained VT | No | No |
14 | P17 | No | Screened by ECG | No | No |
P18 | At infancy | Non-sustained VT and supraventricular tachycardia episodes consistent with atrial tachycardia | No | No | |
15 | P19 | No | Screened by ECG | No | No |
16 | P20 | At 12 years | Biphasic catecholaminergic polymorphic VT; supraventricular tachycardia | Self | ICD at age 16; cervical sympathectomy at age 17 |
P21 | At 4 years | Nonsustained ventricular ectopy | Self. brother at age 22 | No | |
17 | P22 | At 14 years | Catecholaminergic polymorphic VT | Brother at age 15 | No |
P23 | At 8 years | Catecholaminergic polymorphic VT | Self | No | |
18 | P24 | No | No cardiac work up | No | No |
19 | P25 | At age 11 | VT with syncope; intermittent atrial fibrillation (age 13) | Sister at age 14 | ICD at age 13 |
20 | P26 | At age 9 | Non-sustained supraventricular tachycardia with occasional ventricular extrasystoles | No | No |
P27 | No cardiac work up | No cardiac work up | No | No | |
21 | P28 | No | No exercise test | Yes | No |
P29 | At 7 y | Sinus dysrhythmia | No | No | |
P30 | At 40 y | Atrial fibrillation | No | No | |
P31 | No cardiac work up | No cardiac work up | No | No | |
P32 | No cardiac work up | No cardiac work up | No | No | |
P33 | No cardiac work up | No cardiac work up | No | No | |
P34 | No cardiac work up | No cardiac work up | No | No | |
22 | P35 | No | No exercise test | No | No |
P36 | No | No exercise test | No | No | |
P37 | No cardiac work up | No cardiac work up | No | No | |
23 | P38 | No cardiac work up | No cardiac work up | NA | No |
P39 | No | No exercise test | No | No | |
24 | P40 | No | Sudden death at age of 14 | Self | No |
25 | P41 | At 3 y | PAC | No | No |
P42 | No cardiac work up | No cardiac work up | No | No | |
P43 | No cardiac work up | No cardiac work up | No | No | |
26 | P44 | No | No exercise test | No | No |
27 | P45 | No | Normal ECG and ECHO | NA | No |
P46 | No | Normal ECG and ECHO | NA | No |
ECG: electrocardiogram, HCM: hypertrophic cardiomyopathy, PAC: premature atrial contractions, VES: ventricular extra systoles, VT: ventricular tachycardia
patient described palpitations first at age 12 but formally diagnosed with arrhythmia later at the age of 15.