Oka Hideharu, Nakau Kouichi, Imanishi Rina, Furukawa Takuo, Tanabe Yasuko, Hirono Keiichi, Hata Yukiko, Nishida Naoki, Azuma Hiroshi
Department of Pediatrics, Asahikawa Medical University, Asahikawa, Japan.
Department of Pediatrics, Asahikawa City Hospital, Asahikawa, Japan.
CJC Open. 2021 May 12;3(9):1195-1198. doi: 10.1016/j.cjco.2021.05.003. eCollection 2021 Sep.
Hypertrophic cardiomyopathy (HCM) is the primary cause of sudden cardiac death in children and adolescents. Patients with HCM frequently have ventricular tachycardia and ventricular fibrillation, although complete atrioventricular block (CAVB) is very rare. We report a case of HCM with CAVB in an 8-year-old girl who underwent transvenous implantable cardioverter-defibrillator placement after resuscitation. In this patient, we identified a heterozygous missense variant, Arg406Trp (c.1216C > T), in the desmin ( gene. Pathogenic variants in the gene result in cardiomyopathy, conduction disorders, and skeletal muscle weakness. This recently identified variant may cause HCM with CAVB.
肥厚型心肌病(HCM)是儿童和青少年心源性猝死的主要原因。HCM患者常出现室性心动过速和心室颤动,尽管完全性房室传导阻滞(CAVB)非常罕见。我们报告一例8岁女孩患有HCM并伴有CAVB,该女孩在复苏后接受了经静脉植入式心脏复律除颤器植入术。在该患者中,我们在结蛋白(DES)基因中鉴定出一个杂合错义变体,Arg406Trp(c.1216C>T)。该基因的致病性变体会导致心肌病、传导障碍和骨骼肌无力。这个最近鉴定出的变体可能会导致伴有CAVB的HCM。