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LQTS founder population in Northern Sweden - the natural history of a potentially fatal inherited cardiac disorder

Bibliographic Data

ID5958146
AuthorsDiamant Ulla-Britt, Ulla‐Britt Diamant (0000-0002-1811-225X, Umeå University), Winbo Annika, Annika Winbo (0000-0002-9323-3166, University of Auckland), Karlsson Marcus, Marcus Karlsson (Umeå University), Edvinsson Sören (Umeå University), Rydberg Annika (University of Auckland, corresponding author)
Year2020
Volume66
Issue3-4
Pages191-207
Publication date2020-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBiodemography and Social Biology (JOURNAL)
Journal identifiersISSN: 1948-5565 • E-ISSN: 1948-5573
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19485565.2021.1999788
PMID34761968
OpenAlexW3212328635
LanguageEN
References cited27

Long QT Syndrome (LQTS) is an autosomal dominant inherited cardiac disorder associated with life-threatening arrhythmias. In northern Sweden, a LQTS founder mutation (p.Y111C, KCNQ1 gene) was verified by genetic haplotype analysis and genealogical studies, and a common ancestor couple was identified. Clinical studies of this population revealed an apparent mild phenotype. However, due to early commencement of prophylactic treatment, the natural history of this disorder cannot be properly assessed based only on clinical data. By using the family tree mortality ratio method (FTMR), we assessed the natural history of the untreated LQTS founder population. The principle of FTMR is to compare the age-specific mortality rates in a historic population harboring an inherited disorder with the corresponding mortality rates in an unaffected control population.Initially, we used the general Swedish population during the same period for comparison and observed an apparent increased longevity in the p.Y111C study population. However, when using a control population born in the same area, we observed no differences regarding overall mortality. Moreover, patterns suggesting age- and sex-stratified excess mortality, in accordance with previous LQTS studies, were evident.This study shows the importance of being aware of historical demographic patterns to avoid misinterpreting when comparing historical data

Biology · Family history · Founder effect · Gene · Genotype · Haplotype · Long QT syndrome · Natural history · Population · QT interval · Cardiac electrophysiology and arrhythmias · Demography · Ion channel regulation and function · Medicine · Receptor Mechanisms and Signaling · Genetics · Internal Medicine

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Citation velocityhistorical
Highly citedNo

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