Table 4. Long QT mutation carriers’ descriptives.
Mutation | KCNH24 | KCNH21 | KCNH21 | KCNH21 | KCNH21 | SCN5A2 | SCN5A3 | KCNH21 |
KCNE25 | ||||||||
De novo/inherited | Mater | ? | Pater | ? | ? | Pater | Mater | ? |
Karyotype | 45,X | 45,X | 45,X | 45,X/46,X,i(Xq) | 45,X,inv(9) | 45,X | 45,X/ | 45,X |
47,X,i(Xq),i(Xq) | (p11q11) | 46,X,idic(X) | ||||||
Bazett's QTc [ms]* | 468.7 | 465.2 | 464.8 | 458.3 | 453.5 | 453.4 | 443.4 | 432.0 |
Hodges's QTc [ms]* | 444.3 | 433.9 | 435.8 | 434.6 | 427.6 | 452.6 | 424.8 | 415.6 |
Heart rate [bmp] | 68 | 90 | 134 | 71 | 79 | 62 | 65 | 79 |
Bicuspid aortic valve | Yes | No | No | No | No | Yes | No | Yes |
Coarctatio | No | No | Yes | No | No | Yes | No | No |
Hypothyroidisme | No | Eltroxin | Eltroxin | No | No | Eltroxin | No | No |
Ischemic heart disease | No | No | No | No | No | No | No | No |
Diabetes mellitus | No | No | No | Yes | No | No | No | No |
Hypertension | No | Yes | Yes | Yes | No | Yes | No | Yes |
Antihypertensive drugs | No | Yes | Yes | Yes | Yes | Yes | Yes | No |
Age [years] | 26 | 56 | 43 | 42 | 32 | 41 | 38 | 38 |
HRT during entire study | No | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
BMI >30 | No | Yes | Yes | Yes | No | Yes | Yes | No |
Treatment for LQTS | No | No | ? | β-blocker | β-blocker | No | ? | β-blocker |
ECGs with the longest QTc-interval.
KCNH2 c.3140G>T heterozygous p.Arg1047Leu. Uncertain pathogenic, known mutation.
SCN5A c.6010T>C heterozygous p.Phe2004Leu. Uncertain pathogenic, known mutation.
SCN5A c.5872C>T heterozygous p.Arg1958X. Definitely pathogenic, Stop codon mutation.
KCNH2 c.2738C>T heterozygous p.Ala913Val. Definitely pathogenic.
KCNE2 c.161T>C heterozygous p.Met54Thr. Likely pathogenic.
A question mark indicates that no information was available. ms = milliseconds, bpm = beats per minute. HRT = Hormone replacement therapy.
The in silico analysis was perfomed by the use of Alamut software (Interactive Biosoftware, ver 2.1, Mont-Saint-Aignan, France, http://www.interactive-biosoftware.com/) taking into account results from Polyphen-2, SIFT, Grantham score, and the nucleotide and aminoacid conservation.