Phospholamban p.Arg14del Cardiomyopathy: A Japanese Case Series

  • Tabata Tomoka
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Kuramoto Yuki
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Ohtani Tomohito
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Miyawaki Hiroshi
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Miyashita Yohei
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Sera Fusako
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Kioka Hidetaka
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Higo Shuichiro
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Asano Yoshihiro
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Hikoso Shungo
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan
  • Sakata Yasushi
    Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Japan

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Abstract

<p>Phospholamban p.Arg14del is reported to cause hereditary cardiomyopathy with malignant ventricular tachycardia (VT) and advanced heart failure. However, the clinical courses of Japanese cardiomyopathy patients with phospholamban p.Arg14del remain uncharacterized. We identified five patients with this variant. All patients were diagnosed with dilated cardiomyopathy (DCM), developed end-stage heart failure and experienced VT requiring implantable cardioverter defibrillator discharge. Four patients survived after implantation of a left ventricular assist device (LVAD), while one patient who refused LVAD implantation died of heart failure. Based on the severe course of the disease, we propose genetic screening for phospholamban p.Arg14del in DCM patients. </p>

Journal

  • Internal Medicine

    Internal Medicine 61 (13), 1987-1993, 2022-07-01

    The Japanese Society of Internal Medicine

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