Evidence map›Paper›PMID 31983240›Full record

SynthesisCirculation2020

An International, Multicentered, Evidence-Based Reappraisal of Genes Reported to Cause Congenital Long QT Syndrome.

Arnon Adler, Valeria Novelli, Ahmad S Amin, Emanuela Abiusi, Melanie Care, Eline A Nannenberg, Harriet Feilotter, Simona Amenta, Daniela Mazza, Hennie Bikker and 9 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Circulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 205 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 7 pooled it
37.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

205 citing papers in PubMed, 7 syntheses or guidelines pooled it, 387 citations in OpenAlex.

  1. Guideline
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  4. Pooled it
  5. Geno- and phenotypic characteristics and clinical outcomes ofFrontiers in cardiovascular medicine · 2022
    Pooled it
  6. Pooled it
  7. Guideline
  8. Trial
  9. Review
  10. Article
  11. The evaluation of copy number variants in an unselected population of patients with inherited cardiac conditions: the INTERACTION study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  12. Review
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  14. Article
  15. Article
  16. Article
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  18. Review
  19. Structural Evaluation ofCirculation. Genomic and precision medicine · 2026
    Article
  20. Review

145 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 5 countries.

Arnon AdlerDivision of Cardiology, Toronto General Hospital and University of Toronto, Canada (A.A, M.C., M.H.G.).
Valeria NovelliFondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, and Istituto di Medicina Genomica, Università Cattolica del Sacro Cuore, Rome, Italy (V.N., E.A., S.A., D.M.).
Ahmad S AminHeart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences (A.S.A., A.A.M.W.), Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.
Emanuela AbiusiFondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, and Istituto di Medicina Genomica, Università Cattolica del Sacro Cuore, Rome, Italy (V.N., E.A., S.A., D.M.).
Melanie CareDivision of Cardiology, Toronto General Hospital and University of Toronto, Canada (A.A, M.C., M.H.G.).
Eline A NannenbergDepartment of Clinical Genetics (E.A.N., H.B.), Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.
Harriet FeilotterDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, Canada (H.F.).
Simona AmentaFondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, and Istituto di Medicina Genomica, Università Cattolica del Sacro Cuore, Rome, Italy (V.N., E.A., S.A., D.M.).
Daniela MazzaFondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, and Istituto di Medicina Genomica, Università Cattolica del Sacro Cuore, Rome, Italy (V.N., E.A., S.A., D.M.).
Hennie BikkerDepartment of Clinical Genetics (E.A.N., H.B.), Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.
Amy C SturmGeisinger Genomic Medicine Institute, Danville, PA (A.C.S.).
John GarciaInvitae Corporation, San Francisco, CA (J.G.).
Michael J AckermanDepartments of Cardiovascular Diseases, Pediatrics, and Molecular Pharmacology and Experimental Therapeutics, Divisions of Heart Rhythm Services and Pediatric Cardiology, Windland Smith Rice Sudden Death Genomics Laboratory, Rochester, MN (M.J.A.).
Raymond E HershbergerDivisions of Human Genetics and Cardiovascular Medicine in the Department of Internal Medicine, Ohio State University, Columbus (R.E.H.).
Marco V PerezDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, CA (M.V.P.).
Wojciech ZarebaCardiology Unit of the Department of Medicine, University of Rochester Medical Center, NY (W.Z.).
James S WareNational Heart and Lung Institute and Medical Research Council London Institute of Medical Sciences, Imperial College London, UK (J.S.W.).
Arthur A M WildeHeart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences (A.S.A., A.A.M.W.), Amsterdam University Medical Centers, University of Amsterdam, The Netherlands.
Michael H GollobDivision of Cardiology, Toronto General Hospital and University of Toronto, Canada (A.A, M.C., M.H.G.).
Università Cattolica del Sacro Cuore · ITAmsterdam University Medical Centers · NLToronto General Hospital · CACardiovascular Institute of the South · USColumbia University Irving Medical Center · USGeisinger Neuroscience Institute · USHarefield Hospital · GBHeart Rhythm Society · USInvitae (United States) · USQueen's University · CAThe Ohio State University · USUniversity Health Network · CAUniversity of Rochester Medical Center · US

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI REHM, HEIDI L · 2013 to 2020
$26.9M
The Clinical Genome Resource - Expert Curation and EHR IntegrationU41HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S · 2017 to 2020
$13.3M
Clinically Relevant Genome Variation DatabaseU01HG007436 · NHGRI · STANFORD UNIVERSITY · PI BUSTAMANTE, CARLOS DANIEL, PLON, SHARON E. · 2013 to 2016
$10.5M
CIHR 408226Medical Research Council MC_UP_1102/20NHGRI NIH HHS U01 HG007436NHGRI NIH HHS U41 HG006834NHGRI NIH HHS U41 HG009650Wellcome Trust 107469/Z15/Z
6 · The paper itself

Abstract

backgroundLong QT syndrome (LQTS) is the first described and most common inherited arrhythmia. Over the last 25 years, multiple genes have been reported to cause this condition and are routinely tested in patients. Because of dramatic changes in our understanding of human genetic variation, reappraisal of reported genetic causes for LQTS is required.

methodsUtilizing an evidence-based framework, 3 gene curation teams blinded to each other's work scored the level of evidence for 17 genes reported to cause LQTS. A Clinical Domain Channelopathy Working Group provided a final classification of these genes for causation of LQTS after assessment of the evidence scored by the independent curation teams.

resultsOf 17 genes reported as being causative for LQTS, 9 (

conclusionsMore than half of the genes reported as causing LQTS have limited or disputed evidence to support their disease causation. Genetic variants in these genes should not be used for clinical decision-making, unless accompanied by new and sufficient genetic evidence. The findings of insufficient evidence to support gene-disease associations may extend to other disciplines of medicine and warrants a contemporary evidence-based evaluation for previously reported disease-causing genes to ensure their appropriate use in precision medicine.

Indexed as

Genetic Predisposition to DiseaseAtrioventricular BlockEvidence-Based MedicineFemaleGenetic Diseases, InbornHumansLong QT SyndromeMaleMulticenter Studies as TopicClinGengeneticslong QT syndromesudden death

Identifiers

PMID31983240
PMCPMC7017940
OpenAlexW3003054269

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.