Ware Stephanie M
Department of Pediatrics, the Heart Institute, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, 45229-3039.
Prog Pediatr Cardiol. 2011 May;31(2):99-102. doi: 10.1016/j.ppedcard.2011.02.006.
There has been tremendous growth in the application of genetics to the clinical practice of pediatric cardiomyopathy. The identification of the genetic basis for cardiomyopathies is important for establishing a causal diagnosis, providing definitive identification of at risk family members, and providing cost-effective screening and surveillance. Additional research is needed to better understand the genetic heterogeneity of cardiomyopathy in children, the implications of specific genotypes, the best approach to cardiac surveillance and genetic testing, and the utility of genotyping for individual risk stratification. As the technology for evaluation of the human genome continues to improve, there is an increasing need for assessment of clinical relevance and utility. This is coupled with an ongoing need for education and training of professionals to interpret and implement genomics in a clinical setting.
遗传学在小儿心肌病临床实践中的应用有了巨大的发展。确定心肌病的遗传基础对于做出病因诊断、明确高危家庭成员、提供具有成本效益的筛查和监测至关重要。还需要进一步研究,以更好地了解儿童心肌病的遗传异质性、特定基因型的影响、心脏监测和基因检测的最佳方法,以及基因分型在个体风险分层中的作用。随着人类基因组评估技术的不断改进,对临床相关性和实用性评估的需求日益增加。这也伴随着持续的需求,即对专业人员进行教育和培训,以便在临床环境中解读和应用基因组学。