Evidence map›Paper›PMID 37795486›Full record

ArticleFrontiers in cardiovascular medicine2023

Diagnostic yield of genetic testing in a multinational heterogeneous cohort of 2088 DCM patients.

Krista Heliö, Marcos Cicerchia, Julie Hathaway, Johanna Tommiska, Johanna Huusko, Inka Saarinen, Lotta Koskinen, Mikko Muona, Ville Kytölä, Janica Djupsjöbacka and 8 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. The evaluation of copy number variants in an unselected population of patients with inherited cardiac conditions: the INTERACTION study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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  12. Dilated Cardiomyopathy: A Genetic Journey from Past to Future.International journal of molecular sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 3 countries.

Krista HeliöHeart and Lung Center, ERN GUARD-Heart Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Marcos CicerchiaBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Julie HathawayBlueprint Genetics, A Quest Diagnostics Company, Seattle, USA.
Johanna TommiskaBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Johanna HuuskoBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Inka SaarinenBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Lotta KoskinenBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Mikko MuonaBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Ville KytöläBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Janica DjupsjöbackaBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Massimiliano GentileBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Pertteli SalmenperäBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Tero-Pekka AlastaloBlueprint Genetics, A Quest Diagnostics Company, Seattle, USA.
Christian SteinbergQuebec Heart and Lung Institute, Laval University, Quebec, Canada.
Tiina HeliöHeart and Lung Center, ERN GUARD-Heart Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Jussi PaananenBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Samuel MyllykangasBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Juha KoskenvuoBlueprint Genetics, A Quest Diagnostics Company, Espoo, Finland.
Blueprint Genetics (Finland) · FIQuest Diagnostics (United States) · USHelsinki University Hospital · FIUniversité Laval · CAUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Familial dilated cardiomyopathy (DCM) causes heart failure and may lead to heart transplantation. DCM is typically a monogenic disorder with autosomal dominant inheritance. Currently disease-causing variants have been reported in over 60 genes that encode proteins in sarcomeres, nuclear lamina, desmosomes, cytoskeleton, and mitochondria. Over half of the patients undergoing comprehensive genetic testing are left without a molecular diagnosis even when patient selection follows strict DCM criteria. Methods and results: This study was a retrospective review of patients referred for genetic testing at Blueprint Genetics due to suspected inherited DCM. Next generation sequencing panels included 23-316 genes associated with cardiomyopathies and other monogenic cardiac diseases. Variants were considered diagnostic if classified as pathogenic (P) or likely pathogenic (LP). Of the 2,088 patients 514 (24.6%) obtained a molecular diagnosis; 534 LP/P variants were observed across 45 genes, 2.7% (14/514) had two diagnostic variants in dominant genes. Nine copy number variants were identified: two multigene and seven intragenic. Diagnostic variants were observed most often in Conclusions: Panel testing provides good diagnostic yield in patients with clinically suspected DCM. Causative variants were identified in 45 genes. In minority, two diagnostic variants were observed in dominant genes. Our results support the use of genetic panels in clinical settings in DCM patients with suspected genetic etiology.

Indexed as

cardiomyopathydiagnostic yielddilated cardiomyopathygenetic testingnext generation sequencing

Identifiers

PMID37795486
PMCPMC10546047
OpenAlexW4386851519

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.