Table 1:
ClinGen reappraisal of genes associated with inherited arrhythmia syndromes
| ClinGen Class |
Long QT syndrome |
Brugada syndrome |
Catecholaminergic polymorphic VT |
Short QT syndrome |
Other |
|---|---|---|---|---|---|
| Definitive | KCNQ1, KCNH2, SCN5A, CALM1/2/3 | SCN5A | RYR2, CASQ2(AR), TRDN, TECRL | KCNH2 | CACNA1C (Timothy), KCNJ2 (Anderson-Tawil) |
| Strong | TRDN (AR) | — | — | KCNQ1, SLC4A3 * | KCNE1 (aLQTS), KCNE2 (aLQTS) |
| Moderate | CACNA1C | — | CASQ2(AD), CALM1/2/3 |
SLC4A3*, KCNJ2 |
— |
| Limited | CAV3, KCNE1, KCNJ2 | — | — | — | — |
| Disputed/ No evidence |
SNTA1, AKAP9, ANK2, KCNE2, KCNJ5, SCN4B | 20 genes | ANK2, KCNJ2, PKP2, SCN5A | CACNA1C, CACNA2D1, CACNB2, SCN5A, SLC22A5 ** | — |
The panel reviewing SLC4A3 was divided whether to classify it as having strong or moderate evidence.
This gene causes primary systemic carnitine deficiency which may mimic SQTS. Abbreviations: VT=ventricular tachycardia, AR=autosomal recessive, AD=autosomal dominant, aLQTS=acquired long QT syndrome. Timothy Syndrome and Anderson-Tawil Syndrome are characterized by long QT syndrome in conjunction with characteristic non-cardiac phenotypes. CALM1, CALM2, and CALM3 are 3 distinct genes that all encode an identical calmodulin protein.