Table 2.
Aggregated consensus guideline indications for genetic testing in inherited arrhythmia syndromes.
Condition | Diagnosis / Strong suspicion |
Relative is index case with known mutation |
Reference |
---|---|---|---|
Long QT syndrome | I1 / IIb2 | I | 1 |
Catecholaminergic polymorphic ventricular
tachycardia |
I | I | 1 |
Brugada syndrome | IIa | I | 1 |
Cardiac conduction system disease | IIb3 | I | 1 |
Short QT syndrome | IIb | I | 1 |
Hypertrophic cardiomyopathy | I | I | 1,2 |
Arrhythmogenic ventricular cardiomyopathy | IIa4 / IIb5 | I | 1 |
Dilated cardiomyopathy | I6 / IIa7 | I | 1 |
Left ventricular noncompaction cardiomyopathy | IIa | I | 1 |
Restrictive cardiomyopathy | IIb | I | 1 |
Out of hospital cardiac arrest | I8 | – | 1 |
Sudden unexplained death & sudden infant death
syndrome |
IIb9 | I | 1 |
Atrial fibrillation | – | – | 1 |
Strong clinical suspicion, or asymptomatic with QTc > 500 (adult) or > 480 (prepuberty) on repeated occasions
Asymptomatic with QTc > 480 (adult) or >460 (prepuberty)
Isolated CCD or with concomitant congenital heart disease, especially with family history of cardiac conduction system disease
Task force clinical diagnosis of arrhythmogenic ventricular cardiomyopathy
Task force possible arrhythmogenic ventricular cardiomyopathy
With conduction disease or family history of sudden death
To confirm diagnosis with familial dilated cardiomyopathy
If exam suggests channelopathy or cardiomyopathy
If evaluation suggests long QT syndrome or catecholaminergic polymorphic ventricular tachcyardia
These indications represent a summary of class I and II indications based on consensus guideline statements. 1,2