Evidence map›Paper›PMID 37418234›Full record

ArticleJournal of cardiovascular translational research2023

A Systematic Analysis of the Clinical Outcome Associated with Multiple Reclassified Desmosomal Gene Variants in Arrhythmogenic Right Ventricular Cardiomyopathy Patients.

Emilia Nagyova, Edgar T Hoorntje, Wouter P Te Rijdt, Laurens P Bosman, Petros Syrris, Alexandros Protonotarios, Perry M Elliott, Adalena Tsatsopoulou, Luisa Mestroni, Matthew R G Taylor and 31 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cardiovascular translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. What Should a Clinical Cardiologist Know About Cardiogenetics?Journal of the American Heart Association · 2025
    Review
  5. Article
  6. Article
  7. Genetics in arrhythmogenic cardiomyopathies: where are we now and where are we heading to?European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors at 19 institutions in 13 countries.

Emilia Nagyova *Department of Cardiology, Division Heart & Lungs, University Medical Center Utrecht, University of Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Edgar T Hoorntje *Department of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Wouter P Te RijdtDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Laurens P BosmanDepartment of Cardiology, Division Heart & Lungs, University Medical Center Utrecht, University of Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Petros SyrrisCenter for Heart Muscle Disease, Institute of Cardiovascular Science, University College London, London, UK.
Alexandros ProtonotariosCenter for Heart Muscle Disease, Institute of Cardiovascular Science, University College London, London, UK.
Perry M ElliottCenter for Heart Muscle Disease, Institute of Cardiovascular Science, University College London, London, UK.
Adalena TsatsopoulouNikos Protonotarios Medical Center, 84300, Naxos, Greece.
Luisa MestroniCardiovascular Institute, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Matthew R G TaylorCardiovascular Institute, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Gianfranco SinagraCardiothoracovascular Department, Azienda Sanitaria-Universitaria Giuliano Isontina (ASUGI), Trieste, Italy.
Marco MerloCardiothoracovascular Department, Azienda Sanitaria-Universitaria Giuliano Isontina (ASUGI), Trieste, Italy.
Yuko WadaDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Minoru HorieDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Otsu, Japan.
Jens MogensenDepartment of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
Alex H ChristensenDepartment of Cardiology, Herlev-Gentofte and Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Brenda GerullDepartment of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, Calgary, AB, Canada.
Lei SongArrhythmia Center and Clinical EP Laboratory, State Key Laboratory of Cardiovascular Diseases, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College-Chinese Academy of Medical Sciences, Beijing, China.
Yan YaoArrhythmia Center and Clinical EP Laboratory, State Key Laboratory of Cardiovascular Diseases, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College-Chinese Academy of Medical Sciences, Beijing, China.
Siyang FanArrhythmia Center and Clinical EP Laboratory, State Key Laboratory of Cardiovascular Diseases, National Center for Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College-Chinese Academy of Medical Sciences, Beijing, China.
Ardan M SagunerDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Firat DuruDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Juha W KoskenvuoBlueprint Genetics, Helsinki, Finland.
Tania Cruz MarinoDepartment of Medical Biology, CIUSSS Saguenay Lac-St-Jean, Chicoutimi, QC, Canada.
Crystal TichnellDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Daniel P JudgeDivision of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, USA.
Dennis DooijesDepartment of Genetics, University Medical Center Utrecht, University of Utrecht, Utrecht, the Netherlands.
Ronald H Lekanne Deprez.
Cristina Basso.
Kalliopi Pilichou.
Barbara BauceDepartment of Cardiac-Thoracic-Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Arthur A M Wilde.
Philippe CharronAPHP, Referral Center for Cardiac Hereditary Diseases, Sorbonne University, Pitié-Salpêtrière Hospital, Paris, France.
Véronique FressartAPHP, Referral Center for Cardiac Hereditary Diseases, Sorbonne University, Pitié-Salpêtrière Hospital, Paris, France.
Jeroen F van der HeijdenDepartment of Cardiology, Division Heart & Lungs, University Medical Center Utrecht, University of Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Maarten P van den BergDepartment of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Folkert W AsselbergsDepartment of Cardiology, Division Heart & Lungs, University Medical Center Utrecht, University of Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Cynthia A JamesDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA.
Jan D H JongbloedDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Magdalena Harakalova *Department of Cardiology, Division Heart & Lungs, University Medical Center Utrecht, University of Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. m.harakalova@umcutrecht.nl.ORCID 0000-0002-7293-1029
J Peter van Tintelen *Netherlands Heart Institute, Utrecht, The Netherlands.
Utrecht University · NLUniversity Medical Center Groningen · NLChinese Academy of Medical Sciences & Peking Union Medical College · CNUniversity College London · GBUniversity of Padua · ITAzienda Sanitaria Universitaria Integrata di Trieste · ITJohns Hopkins University · USShiga University of Medical Science · JPSorbonne Université · FRUniversity of Colorado Anschutz Medical Campus · USZurich Heart House · CHAalborg University Hospital · DKAmsterdam University Medical Centers · NLBlueprint Genetics (Finland) · FICentre Intégré Universitaire de Santé et de Services Sociaux du Saguenay–Lac-Saint-Jean · CAGentofte Hospital · DKMedical University of South Carolina · USUniversitätsklinikum Würzburg · DEUniversity of Amsterdam · NL

Funding

Genetics, Mechanisms and Clinical Phenotypes of Arrhythmogenic CardiomyopathyR01HL116906 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI MARCUS, FRANK I, MESTRONI, LUISA · 2013 to 2016
$9.2M
Molecular Epidemiology of Dilated CardiomyopathR01HL069071 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA · 2002 to 2005
$2.3M
Whole genome DNA sequencing to identify novel genes in dilated cardiomyopathyR01HL109209 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TAYLOR, MATTHEW R · 2012 to 2016
$2.1M
Cardiomyocyte phenotype and mechanotransduction in Filamin C gene variants causing arrhythmogenic cardiomyopathyR01HL147064 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA, TAYLOR, MATTHEW R · 2020 to 2023
$2.1M
NHLBI NIH HHS R01 HL069071NHLBI NIH HHS R01 HL109209NHLBI NIH HHS R01 HL116906NHLBI NIH HHS R01 HL147064
6 · The paper itself

Abstract

The presence of multiple pathogenic variants in desmosomal genes (DSC2, DSG2, DSP, JUP, and PKP2) in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC) has been linked to a severe phenotype. However, the pathogenicity of variants is reclassified frequently, which may result in a changed clinical risk prediction. Here, we present the collection, reclassification, and clinical outcome correlation for the largest series of ARVC patients carrying multiple desmosomal pathogenic variants to date (n = 331). After reclassification, only 29% of patients remained carriers of two (likely) pathogenic variants. They reached the composite endpoint (ventricular arrhythmias, heart failure, and death) significantly earlier than patients with one or no remaining reclassified variant (hazard ratios of 1.9 and 1.8, respectively). Periodic reclassification of variants contributes to more accurate risk stratification and subsequent clinical management strategy. Graphical Abstract.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaArrhythmias, CardiacHumansMutationPhenotypePlakophilinsPlakophilinsArrhythmiaARVCComposite endpointDesmosomal genesGeneticsMultiple variants

Identifiers

PMID37418234
PMCPMC10721666
OpenAlexW4383480988

What OpenQuestion holds

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Registered trials

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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.