Table 2.
Variants Related to Condition |
Monogenic Disease Risk Secondary Findings |
Carrier Findings | |||||||
---|---|---|---|---|---|---|---|---|---|
Variant Classification | Patients with this result (%) |
Mean per patient (sd) |
Range per patient |
Patients with this result (%) |
Mean per patient (sd) |
Range per patient |
Patients with this result (%) |
Mean per patient (sd) |
Range per patient |
Cardiology cohort (n=49) | |||||||||
Any results | 24 (49%) | 0.6 (0.6) | 0–2 | 8 (16%) | 0.2 (0.4) | 0–1 | 41 (84%) | 1.9 (1.4) | 0–6 |
Pathogenic | 12 (24%) | 0.2 (0.4) | 0–1 | 2 (4%) | 0.0 (0.2) | 0–1 | 33 (67%) | 1.2 (1.1) | 0–4 |
Likely pathogenic | 4 (8%) | 0.1 (0.3) | 0–1 | 3 (6%) | 0.1 (0.2) | 0–1 | 18 (37%) | 0.4 (0.6) | 0–2 |
VUS: Favor pathogenic | 4 (8%) | 0.1 (0.3) | 0–1 | 1 (2%) | 0.0 (0.1) | 0–1 | 6 (12%) | 0.2 (0.6) | 0–3 |
VUS* | 5 (10%) | 0.1 (0.5) | 0–2 | - | - | - | - | - | - |
Risk allele† | 0 (0%) | 0.0 (0.0) | 0 | 2 (4%) | 0.0 (0.2) | 0–1 | 1 (2%) | 0.0 (0.1) | 0–1 |
Primary care cohort (n=50) | Monogenic Disease Risk Findings | Carrier Findings | |||||||
All results | 13 (26%) | 0.3 (0.4) | 0–1 | 50 (100%) | 2.7 (1.5) | 1–7 | |||
Pathogenic | 6 (12%) | 0.1 (0.3) | 0–1 | 45 (90%) | 1.9 (1.3) | 0–5 | |||
Likely pathogenic | 3 (6%) | 0.1 (0.2) | 0–1 | 21 (42%) | 0.6 (0.8) | 0–3 | |||
VUS: Favor pathogenic | 3 (6%) | 0.1 (0.2) | 0–1 | 10 (20%) | 0.2 (0.5) | 0–2 | |||
Risk allele† | 1 (3%) | 0.0 (0.1) | 0–1 | 0 (0%) | 0 (0.0) | 0 |
Variants of uncertain significance (VUS) where evidence did not favor pathogenicity were only disclosed if they potentially explained a cardiology patient’s diagnosis of hypertrophic or dilated cardiomyopathy. All patients also received polygenic risk predictions about 8 cardiometabolic traits and pharmacogenomic results about 5 drugs. See Appendix 6 and Appendix 7, respectively
Two cardiology patients and one primary care patient were identified with risk alleles for Factor V Leiden thrombophilia, which were reported as monogenic disease risk findings. In addition, one cardiology patient was identified with an allele associated with HEXA pseudodeficiency which was reported as a carrier finding.