Sudden infant death syndrome caused by cardiac arrhythmias: only a matter of genes encoding ion channels?

Abstract:

:Sudden infant death syndrome is the unexpected demise of a child younger than 1 year of age which remains unexplained after a complete autopsy investigation. Usually, it occurs during sleep, in males, and during the first 12 weeks of life. The pathophysiological mechanism underlying the death is unknown, and the lethal episode is considered multifactorial. However, in cases without a conclusive post-mortem diagnosis, suspicious of cardiac arrhythmias may also be considered as a cause of death, especially in families suffering from any cardiac disease associated with sudden cardiac death. Here, we review current understanding of sudden infant death, focusing on genetic causes leading to lethal cardiac arrhythmias, considering both genes encoding ion channels as well as structural proteins due to recent association of channelopathies and desmosomal genes. We support a comprehensive analysis of all genes associated with sudden cardiac death in families suffering of infant death. It allows the identification of the most plausible cause of death but also of family members at risk, providing cardiologists with essential data to adopt therapeutic preventive measures in families affected with this lethal entity.

journal_name

Int J Legal Med

authors

Sarquella-Brugada G,Campuzano O,Cesar S,Iglesias A,Fernandez A,Brugada J,Brugada R

doi

10.1007/s00414-016-1330-7

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

415-20

issue

2

eissn

0937-9827

issn

1437-1596

pii

10.1007/s00414-016-1330-7

journal_volume

130

pub_type

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