Evidence map›Paper›PMID 42389803›Full record

ArticleCirculation. Arrhythmia and electrophysiology2026

Yield of Family Screening in Arrhythmogenic Right Ventricular Cardiomyopathy Without a Validated Genetic Cause.

Steven A Muller, Brittney Murray, Crystal Tichnell, Arman Salavati, Peter Loh, Richard T Carrick, Moniek G P J Cox, Pim van der Harst, Maarten J Cramer, Marish I F J Oerlemans and 7 more

Abstract read
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Article in Circulation. Arrhythmia and electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

17 authors.

Steven A MullerDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0002-2674-8709
Brittney MurrayDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).
Crystal TichnellDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).
Arman SalavatiDepartment of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0009-0008-5557-0023
Peter LohDepartment of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0000-0002-3263-9007
Richard T CarrickDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0001-5589-1216
Moniek G P J CoxHeart Center, University Medical Center Groningen, Department of Cardiology, University of Groningen, the Netherlands (M.G.P.J.C.).ORCID 0000-0003-2825-8428
Pim van der HarstDepartment of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0000-0002-2713-686X
Maarten J CramerDepartment of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0000-0002-6041-6759
Marish I F J OerlemansDepartment of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0000-0003-3166-518X
Alessio GasperettiDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0003-3432-070X
Babken AsatryanDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0002-0050-5717
Stefan L ZimmermanDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0002-9422-6742
J Peter van TintelenMember of the European Reference Network for rare, low prevalence and complex diseases of the heart: ERN GUARD-Heart (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., J.P.v.T., A.S.J.M.t.R.).ORCID 0000-0003-3854-6749
Hugh CalkinsDivision of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0002-9262-9433
Cynthia A James *Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (S.A.M., B.M., C.T., R.T.C., A.G., B.A., S.L.Z., H.C., C.A.J.).ORCID 0000-0001-8040-4600
Anneline S J M Te Riele *Department of Cardiology, University Medical Center Utrecht, the Netherlands (S.A.M., A.S., P.L., P.v.d.H., M.J.C., M.I.F.J.O., A.S.J.M.t.R.).ORCID 0000-0002-4694-4790

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
NHLBI NIH HHS L30 HL165535NHLBI NIH HHS T32 HL007227
6 · The paper itself

Abstract

backgroundCurrent guidelines recommend regular screening for first-degree relatives of gene-elusive arrhythmogenic right ventricular cardiomyopathy (ARVC) patients using a similar regimen as for genotype-positive/phenotype-negative relatives. However, the multifactorial nature of gene-elusive ARVC may necessitate a different approach. This study aimed to determine the yield of cardiac screening in first-degree relatives of ARVC probands without a validated genetic cause.

methodsWe included all first-degree relatives of probands who (1) met the 2010 Task Force Criteria, (2) underwent next-generation sequencing that included all genes with at least moderate evidence for ARVC causation per Clinical Genome Resource appraisal (validated ARVC genes), and (3) had no pathogenic/likely pathogenic (P/LP) variants identified in these genes. The primary and secondary end points were definite ARVC by the 2010 Task Force Criteria and ventricular arrhythmia, respectively.

resultsWe included 44 relatives (39.0 [22.3-45.8] years; 36% male) from 24 families. In 4 (17%) families, a P/LP variant was identified in a different cardiomyopathy/arrhythmia gene (

conclusionsThese findings highlight the importance of managing first-degree relatives of ARVC probands without a validated genetic cause similarly to genotype-positive ARVC relatives. Furthermore, using a broad cardiomyopathy and arrhythmia gene panel in ARVC probands, rather than limiting testing to validated ARVC genes alone, is warranted.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaGenetic TestingMutationAdultDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseHeredityHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedPedigreePhenotypePredictive Value of TestsRisk Factorsarrhythmogenic right ventricular dysplasiaasymptomatic diseasesdeath, sudden, cardiacearly diagnosisprecision medicinetachycardia

Identifiers

PMID42389803
PMCPMC13336274

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