Increased risk of sudden death in untreated primary carnitine deficiency
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Increased risk of sudden death in untreated primary carnitine deficiency. / Rasmussen, Jan; Dunø, Morten; Lund, Allan M.; Steuerwald, Ulrike; Hansen, Steen Holger; Joensen, Høgni D.; Køber, Lars; Nielsen, Olav W.
I: Journal of Inherited Metabolic Disease, Bind 43, Nr. 2, 2020, s. 290-296.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Increased risk of sudden death in untreated primary carnitine deficiency
AU - Rasmussen, Jan
AU - Dunø, Morten
AU - Lund, Allan M.
AU - Steuerwald, Ulrike
AU - Hansen, Steen Holger
AU - Joensen, Høgni D.
AU - Køber, Lars
AU - Nielsen, Olav W.
PY - 2020
Y1 - 2020
N2 - Primary carnitine deficiency (PCD) affects fatty acid oxidation and is associated with cardiomyopathy and cardiac arrhythmia, but the risk of sudden death in PCD is unknown. The Faroe Islands have a high prevalence of PCD, 1:300. This study systematically investigated a possible association between untreated PCD and sudden death in young Faroese subjects. We investigated all medico-legal cases of sudden death between 1979 and 2012 among subjects below the age of 45. Stored biomaterial was examined with molecular genetic analysis to reveal PCD. We compared the prevalence of PCD among sudden death cases with that of the background population (0.23%) to calculate the odds ratio (OR) for sudden death with PCD. Biomaterial was available and genetically analyzed from 53 of 65 sudden death cases (82%) in the Faroe Islands. Six (one male and five females) of the 53 cases were homozygous for the PCD related c.95A>G mutation—a prevalence of 11.3% (95% CI 5%-23%) and an OR of 54.3 (95% CI 21-138, P <.0001) for the association between sudden death and untreated PCD. Only 11 of the 53 sudden death cases were women—of whom five were homozygous for the c.95A>G mutation (45.5%) yielding an OR of 348.8 (95% CI 94-1287, P <.0001) for the association between sudden death and untreated PCD in females. This study showed a strong association between sudden death and untreated PCD, especially in females.
AB - Primary carnitine deficiency (PCD) affects fatty acid oxidation and is associated with cardiomyopathy and cardiac arrhythmia, but the risk of sudden death in PCD is unknown. The Faroe Islands have a high prevalence of PCD, 1:300. This study systematically investigated a possible association between untreated PCD and sudden death in young Faroese subjects. We investigated all medico-legal cases of sudden death between 1979 and 2012 among subjects below the age of 45. Stored biomaterial was examined with molecular genetic analysis to reveal PCD. We compared the prevalence of PCD among sudden death cases with that of the background population (0.23%) to calculate the odds ratio (OR) for sudden death with PCD. Biomaterial was available and genetically analyzed from 53 of 65 sudden death cases (82%) in the Faroe Islands. Six (one male and five females) of the 53 cases were homozygous for the PCD related c.95A>G mutation—a prevalence of 11.3% (95% CI 5%-23%) and an OR of 54.3 (95% CI 21-138, P <.0001) for the association between sudden death and untreated PCD. Only 11 of the 53 sudden death cases were women—of whom five were homozygous for the c.95A>G mutation (45.5%) yielding an OR of 348.8 (95% CI 94-1287, P <.0001) for the association between sudden death and untreated PCD in females. This study showed a strong association between sudden death and untreated PCD, especially in females.
KW - Faroe Islands
KW - primary carnitine deficiency
KW - sudden death
U2 - 10.1002/jimd.12158
DO - 10.1002/jimd.12158
M3 - Journal article
C2 - 31373028
AN - SCOPUS:85076728734
VL - 43
SP - 290
EP - 296
JO - Journal of Inherited Metabolic Disease
JF - Journal of Inherited Metabolic Disease
SN - 0141-8955
IS - 2
ER -
ID: 234078602