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Ventricular fibrillation, paroxysmal familial, type 1(VF1)

MedGen UID:
414502
Concept ID:
C2751898
Disease or Syndrome
Synonym: Ventricular Fibrillation, Paroxysmal Familial, 1
 
Gene (location): SCN5A (3p22.2)
 
Monarch Initiative: MONDO:0011376
OMIM®: 603829

Definition

Ventricular fibrillation (VF) is said to cause more than 300,000 sudden deaths each year in the US alone. In approximately 5 to 12% of cases, there are no demonstrable cardiac or noncardiac causes to account for the episode, which is therefore classified as idiopathic ventricular fibrillation (IVF). Patients with a distinct form of VF called Brugada syndrome (see 601144) present with a characteristic electrocardiographic pattern, with right bundle branch block (RBBB) and elevation of ST segment in leads V1 to V3 and may account for 40 to 60% of all IVF cases (review by Chen et al., 1998). Mutations in the SCN5A gene were identified in patients with Brugada syndrome-1 (601144). Genetic Heterogeneity of Paroxysmal Familial Ventricular Fibrillation Another familial form of VF (VF2; 612956) is caused by mutation in the DPP6 gene (126141) on chromosome 7q26. [from OMIM]

Clinical features

From HPO
Syncope
MedGen UID:
21443
Concept ID:
C0039070
Sign or Symptom
Syncope is a syndrome in which loss of consciousness is of relatively sudden onset, temporary (usually less than 1 to 2 minutes), self-terminating, and of usually rapid recovery. Syncope leads to a generalized weakness of muscles with loss of postural tone, inability to stand upright, and loss of consciousness. Once the patient is in a horizontal position, blood flow to the brain is no longer hindered by gravitation and consciousness is regained. Unconsciousness usually lasts for seconds to minutes. Headache and drowsiness (which usually follow seizures) do not follow a syncopal attack. Syncope results from a sudden impairment of brain metabolism usually due to a reduction in cerebral blood flow.
Tachycardia
MedGen UID:
21453
Concept ID:
C0039231
Finding
A rapid heartrate that exceeds the range of the normal resting heartrate for age.
Ventricular fibrillation
MedGen UID:
21844
Concept ID:
C0042510
Disease or Syndrome
Uncontrolled contractions of muscles fibers in the left ventricle not producing contraction of the left ventricle. Ventricular fibrillation usually begins with a ventricular premature contraction and a short run of rapid ventricular tachycardia degenerating into uncoordinating ventricular fibrillations.

Recent clinical studies

Etiology

Shinohara T, Takagi M, Kamakura T, Sekiguchi Y, Yokoyama Y, Aihara N, Hiraoka M, Aonuma K; Japan Idiopathic Ventricular Fibrillation Study (J-IVFS) Investigators
Ann Noninvasive Electrocardiol 2021 Jul;26(4):e12831. Epub 2021 Feb 19 doi: 10.1111/anec.12831. PMID: 33608945Free PMC Article
Stampe NK, Jespersen CB, Glinge C, Bundgaard H, Tfelt-Hansen J, Winkel BG
J Cardiovasc Electrophysiol 2020 Oct;31(10):2677-2686. Epub 2020 Aug 7 doi: 10.1111/jce.14696. PMID: 33462911
Shimoyama T, Hayashi H, Suzuki F, Nishiyama Y, Miyamoto Y, Aiba T, Shimizu W, Kimura K
J Clin Neurosci 2020 Apr;74:242-244. Epub 2020 Feb 13 doi: 10.1016/j.jocn.2020.02.007. PMID: 32063450
Vicent L, Ariza-Solé A, González-Juanatey JR, Uribarri A, Ortiz J, López de Sá E, Sans-Roselló J, Querol CT, Codina P, Sousa-Casasnovas I, Martínez-Sellés M; Cardiac Arrest and Myocardial Infarction Notified After Marathon Or Similar effort (CAMINAMOS) registry
Scand J Med Sci Sports 2018 Apr;28(4):1404-1411. Epub 2018 Jan 8 doi: 10.1111/sms.13037. PMID: 29237243
Yagihara N, Watanabe H, Barnett P, Duboscq-Bidot L, Thomas AC, Yang P, Ohno S, Hasegawa K, Kuwano R, Chatel S, Redon R, Schott JJ, Probst V, Koopmann TT, Bezzina CR, Wilde AA, Nakano Y, Aiba T, Miyamoto Y, Kamakura S, Darbar D, Donahue BS, Shigemizu D, Tanaka T, Tsunoda T, Suda M, Sato A, Minamino T, Endo N, Shimizu W, Horie M, Roden DM, Makita N
J Am Heart Assoc 2016 Sep 13;5(9) doi: 10.1161/JAHA.116.003644. PMID: 27625342Free PMC Article

Diagnosis

Groeneveld SA, van der Ree MH, Taha K, de Bruin-Bon RHA, Cramer MJ, Teske AJ, Bouma BJ, Amin AS, Wilde AAM, Postema PG, Hassink RJ
Heart Rhythm 2021 Oct;18(10):1666-1672. Epub 2021 May 28 doi: 10.1016/j.hrthm.2021.05.030. PMID: 34058391
Shinohara T, Takagi M, Kamakura T, Sekiguchi Y, Yokoyama Y, Aihara N, Hiraoka M, Aonuma K; Japan Idiopathic Ventricular Fibrillation Study (J-IVFS) Investigators
Ann Noninvasive Electrocardiol 2021 Jul;26(4):e12831. Epub 2021 Feb 19 doi: 10.1111/anec.12831. PMID: 33608945Free PMC Article
Stampe NK, Jespersen CB, Glinge C, Bundgaard H, Tfelt-Hansen J, Winkel BG
J Cardiovasc Electrophysiol 2020 Oct;31(10):2677-2686. Epub 2020 Aug 7 doi: 10.1111/jce.14696. PMID: 33462911
Shimoyama T, Hayashi H, Suzuki F, Nishiyama Y, Miyamoto Y, Aiba T, Shimizu W, Kimura K
J Clin Neurosci 2020 Apr;74:242-244. Epub 2020 Feb 13 doi: 10.1016/j.jocn.2020.02.007. PMID: 32063450
Vicent L, Ariza-Solé A, González-Juanatey JR, Uribarri A, Ortiz J, López de Sá E, Sans-Roselló J, Querol CT, Codina P, Sousa-Casasnovas I, Martínez-Sellés M; Cardiac Arrest and Myocardial Infarction Notified After Marathon Or Similar effort (CAMINAMOS) registry
Scand J Med Sci Sports 2018 Apr;28(4):1404-1411. Epub 2018 Jan 8 doi: 10.1111/sms.13037. PMID: 29237243

Therapy

Lawley CM, Tester M, Sanatani S, Prendiville T, Beach CM, Vinocur JM, Horie M, Uhm JS, Khongphatthanayothin A, Ayers MD, Starling L, Yoshida Y, Shah MJ, Skinner JR, Turner C
Heart Rhythm 2022 Nov;19(11):1826-1833. Epub 2022 Oct 11 doi: 10.1016/j.hrthm.2022.08.003. PMID: 37850595
Aizawa Y, Sato M, Ohno S, Horie M, Takatsuki S, Fukuda K, Chinushi M, Usui T, Aonuma K, Hosaka Y, Haissaguerre M, Aizawa Y
Heart Rhythm 2014 Dec;11(12):2261-6. Epub 2014 Aug 15 doi: 10.1016/j.hrthm.2014.08.022. PMID: 25131664

Prognosis

Shinohara T, Takagi M, Kamakura T, Sekiguchi Y, Yokoyama Y, Aihara N, Hiraoka M, Aonuma K; Japan Idiopathic Ventricular Fibrillation Study (J-IVFS) Investigators
Ann Noninvasive Electrocardiol 2021 Jul;26(4):e12831. Epub 2021 Feb 19 doi: 10.1111/anec.12831. PMID: 33608945Free PMC Article
Stampe NK, Jespersen CB, Glinge C, Bundgaard H, Tfelt-Hansen J, Winkel BG
J Cardiovasc Electrophysiol 2020 Oct;31(10):2677-2686. Epub 2020 Aug 7 doi: 10.1111/jce.14696. PMID: 33462911
Vicent L, Ariza-Solé A, González-Juanatey JR, Uribarri A, Ortiz J, López de Sá E, Sans-Roselló J, Querol CT, Codina P, Sousa-Casasnovas I, Martínez-Sellés M; Cardiac Arrest and Myocardial Infarction Notified After Marathon Or Similar effort (CAMINAMOS) registry
Scand J Med Sci Sports 2018 Apr;28(4):1404-1411. Epub 2018 Jan 8 doi: 10.1111/sms.13037. PMID: 29237243
Aizawa Y, Sato M, Ohno S, Horie M, Takatsuki S, Fukuda K, Chinushi M, Usui T, Aonuma K, Hosaka Y, Haissaguerre M, Aizawa Y
Heart Rhythm 2014 Dec;11(12):2261-6. Epub 2014 Aug 15 doi: 10.1016/j.hrthm.2014.08.022. PMID: 25131664
Bastiaenen R, Raju H, Sharma S, Papadakis M, Chandra N, Muggenthaler M, Govindan M, Batchvarov VN, Behr ER
Heart Rhythm 2013 Feb;10(2):247-54. Epub 2012 Oct 23 doi: 10.1016/j.hrthm.2012.10.032. PMID: 23089898

Clinical prediction guides

Groeneveld SA, van der Ree MH, Taha K, de Bruin-Bon RHA, Cramer MJ, Teske AJ, Bouma BJ, Amin AS, Wilde AAM, Postema PG, Hassink RJ
Heart Rhythm 2021 Oct;18(10):1666-1672. Epub 2021 May 28 doi: 10.1016/j.hrthm.2021.05.030. PMID: 34058391
Stampe NK, Jespersen CB, Glinge C, Bundgaard H, Tfelt-Hansen J, Winkel BG
J Cardiovasc Electrophysiol 2020 Oct;31(10):2677-2686. Epub 2020 Aug 7 doi: 10.1111/jce.14696. PMID: 33462911
Vicent L, Ariza-Solé A, González-Juanatey JR, Uribarri A, Ortiz J, López de Sá E, Sans-Roselló J, Querol CT, Codina P, Sousa-Casasnovas I, Martínez-Sellés M; Cardiac Arrest and Myocardial Infarction Notified After Marathon Or Similar effort (CAMINAMOS) registry
Scand J Med Sci Sports 2018 Apr;28(4):1404-1411. Epub 2018 Jan 8 doi: 10.1111/sms.13037. PMID: 29237243
Barakoti MP, Karki A, Chaulagain MK, Karki DB
Kathmandu Univ Med J (KUMJ) 2016 Jul-Sept.;14(55):235-238. PMID: 28814685
Aizawa Y, Sato M, Ohno S, Horie M, Takatsuki S, Fukuda K, Chinushi M, Usui T, Aonuma K, Hosaka Y, Haissaguerre M, Aizawa Y
Heart Rhythm 2014 Dec;11(12):2261-6. Epub 2014 Aug 15 doi: 10.1016/j.hrthm.2014.08.022. PMID: 25131664

Recent systematic reviews

Lawley CM, Tester M, Sanatani S, Prendiville T, Beach CM, Vinocur JM, Horie M, Uhm JS, Khongphatthanayothin A, Ayers MD, Starling L, Yoshida Y, Shah MJ, Skinner JR, Turner C
Heart Rhythm 2022 Nov;19(11):1826-1833. Epub 2022 Oct 11 doi: 10.1016/j.hrthm.2022.08.003. PMID: 37850595

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