Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies

Inherited cardiomyopathies are frequent causes of sudden cardiac death (SCD), especially in young patients. Despite at the autopsy they usually have distinctive microscopic and/or macroscopic diagnostic features, their phenotypes may be mild or ambiguous, possibly leading to misdiagnoses or missed d...

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Autores: Grassi, Simone; Campuzano Larrea, Oscar; Coll Vidal, Mònica; Cazzato, Francesca; Sarquella Brugada, Geòrgia; Rossi, Riccardo; Arena, Vincenzo; Brugada Terradellas, Josep; Brugada, Ramon; Oliva, Antonio
Tipo de documento: Artículo
Estado:Published version
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10256/20309
Acceso en línea:http://hdl.handle.net/10256/20309
Nivel de acceso:Acceso abierto
Palabra clave:Miocardi -- Malalties
Myocardium -- Diseases
Mort sobtada
Sudden death
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author Grassi, Simone
author2 Campuzano Larrea, Oscar
Coll Vidal, Mònica
Cazzato, Francesca
Sarquella Brugada, Geòrgia
Rossi, Riccardo
Arena, Vincenzo
Brugada Terradellas, Josep
Brugada, Ramon
Oliva, Antonio
author2_role author
author
author
author
author
author
author
author
author
author_browse Arena, Vincenzo
Brugada Terradellas, Josep
Brugada, Ramon
Campuzano Larrea, Oscar
Cazzato, Francesca
Coll Vidal, Mònica
Grassi, Simone
Oliva, Antonio
Rossi, Riccardo
Sarquella Brugada, Geòrgia
author_facet Grassi, Simone
Campuzano Larrea, Oscar
Coll Vidal, Mònica
Cazzato, Francesca
Sarquella Brugada, Geòrgia
Rossi, Riccardo
Arena, Vincenzo
Brugada Terradellas, Josep
Brugada, Ramon
Oliva, Antonio
author_role author
collection Recercat. Dipósit de la Recerca de Catalunya
description Inherited cardiomyopathies are frequent causes of sudden cardiac death (SCD), especially in young patients. Despite at the autopsy they usually have distinctive microscopic and/or macroscopic diagnostic features, their phenotypes may be mild or ambiguous, possibly leading to misdiagnoses or missed diagnoses. In this review, the main differential diagnoses of hypertrophic cardiomyopathy (e.g., athlete’s heart, idiopathic left ventricular hypertrophy), arrhythmogenic cardiomyopathy (e.g., adipositas cordis, myocarditis) and dilated cardiomyopathy (e.g., acquired forms of dilated cardiomyopathy, left ventricular noncompaction) are discussed. Moreover, the diagnostic issues in SCD victims affected by phenotype-negative hypertrophic cardiomyopathy and the relationship between myocardial bridging and hypertrophic cardiomyopathy are analyzed. Finally, the applications/limits of virtopsy and post-mortem genetic testing in this field are discussed, with particular attention to the issues related to the assessment of the significance of the genetic variants
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institution Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:recercat.cat:10256/20309
publishDate 2021
publishDateSort 2021
publisher MDPI (Multidisciplinary Digital Publishing Institute)
publisherStr MDPI (Multidisciplinary Digital Publishing Institute)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
spelling Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies Grassi, Simone Campuzano Larrea, Oscar Coll Vidal, Mònica Cazzato, Francesca Sarquella Brugada, Geòrgia Rossi, Riccardo Arena, Vincenzo Brugada Terradellas, Josep Brugada, Ramon Oliva, Antonio Miocardi -- Malalties Myocardium -- Diseases Mort sobtada Sudden death Inherited cardiomyopathies are frequent causes of sudden cardiac death (SCD), especially in young patients. Despite at the autopsy they usually have distinctive microscopic and/or macroscopic diagnostic features, their phenotypes may be mild or ambiguous, possibly leading to misdiagnoses or missed diagnoses. In this review, the main differential diagnoses of hypertrophic cardiomyopathy (e.g., athlete’s heart, idiopathic left ventricular hypertrophy), arrhythmogenic cardiomyopathy (e.g., adipositas cordis, myocarditis) and dilated cardiomyopathy (e.g., acquired forms of dilated cardiomyopathy, left ventricular noncompaction) are discussed. Moreover, the diagnostic issues in SCD victims affected by phenotype-negative hypertrophic cardiomyopathy and the relationship between myocardial bridging and hypertrophic cardiomyopathy are analyzed. Finally, the applications/limits of virtopsy and post-mortem genetic testing in this field are discussed, with particular attention to the issues related to the assessment of the significance of the genetic variants This work has been supported by Fondi di Ateneo, Linea D3.2—Project “Funzioni pubbliche, controllo privato. Profili interdisciplinari sulla governance senza governo della società algoritmica”, Università Cattolica del Sacro Cuore. This work was also supported by Obra Social “La Caixa Foundation” (LCF/PR/GN16/50290001 and LCF/PR/GN19/50320002). CIBERCV is an initiative of the ISCIII, Spanish Ministry of Economy and Competitiveness MDPI (Multidisciplinary Digital Publishing Institute) http://hdl.handle.net/10256/20309
spellingShingle Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
Grassi, Simone
Miocardi -- Malalties
Myocardium -- Diseases
Mort sobtada
Sudden death
status_str publishedVersion
title Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
title_full Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
title_fullStr Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
title_full_unstemmed Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
title_short Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
title_sort Update on the Diagnostic Pitfalls of Autopsy and Post-Mortem Genetic Testing in Cardiomyopathies
topic Miocardi -- Malalties
Myocardium -- Diseases
Mort sobtada
Sudden death
topic_facet Miocardi -- Malalties
Myocardium -- Diseases
Mort sobtada
Sudden death
url http://hdl.handle.net/10256/20309