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Novel mutation in N-terminal fragment of ryanodine receptor 2 causing catecholaminergic polymorphic ventricular tachycardia
Institution:Department of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, KS, USA
Abstract:CPVT is a rare inherited arrhythmogenic disorder characterized by bidirectional, polymorphic ventricular arrhythmias triggered by catecholamines released during exercise, stress, or sudden emotion in individuals with a normal resting electrocardiogram and structurally normal heart. Mutations in the ryanodine receptor 2 gene are the most common known etiology of this disorder. The c.1195A > G(p.Met399Val) variant in Exon 14 of RyR2 is currently classified as a Variant of Uncertain Significance. We present a case of CPVT caused by this novel disease-causing RyR2 variant and discuss its pathophysiology. The role of SSRIs in treating patients with CPVT unresponsive to mainstream therapies is also highlighted.
Keywords:Catecholaminergic polymorphic ventricular tachycardia  Selective serotonin reuptake inhibitors  Ryanodine receptor 2  CPVT"}  {"#name":"keyword"  "$":{"id":"pc_UuqdbnjDoc"}  "$$":[{"#name":"text"  "_":"catecholaminergic polymorphic ventricular tachycardia  RyR2"}  {"#name":"keyword"  "$":{"id":"pc_0tOGh3X1oS"}  "$$":[{"#name":"text"  "_":"ryanodine receptor 2  SR"}  {"#name":"keyword"  "$":{"id":"pc_HHVQPQLeEl"}  "$$":[{"#name":"text"  "_":"sarcoplasmic reticulum  VUS"}  {"#name":"keyword"  "$":{"id":"pc_Kaylr3jBM2"}  "$$":[{"#name":"text"  "_":"variant of uncertain significance  CASQ2"}  {"#name":"keyword"  "$":{"id":"pc_LXBYZja6cz"}  "$$":[{"#name":"text"  "_":"calsequestrin 2  ARVC"}  {"#name":"keyword"  "$":{"id":"pc_H8Vz3iBvDl"}  "$$":[{"#name":"text"  "_":"arrhythmogenic right ventricular cardiomyopathy  FKBP"}  {"#name":"keyword"  "$":{"id":"pc_LBuJUdFZRp"}  "$$":[{"#name":"text"  "_":"FK506-binding protein  SSRI"}  {"#name":"keyword"  "$":{"id":"pc_ILoH4Acxol"}  "$$":[{"#name":"text"  "_":"selective serotonin receptor inhibitor  TCA"}  {"#name":"keyword"  "$":{"id":"pc_V4FD5e6Xv5"}  "$$":[{"#name":"text"  "_":"tricyclic antidepressant  SNRI"}  {"#name":"keyword"  "$":{"id":"pc_4zqn9tZHWe"}  "$$":[{"#name":"text"  "_":"serotonin norepinephrine reuptake inhibitor
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