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A novel Loss-of-function Mutation in MYBPC3 Causes familial hypertrophic cardiomyopathy with extreme intrafamilial phenotypic heterogeneity


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Figure 1

Pedigree of the described nonconsanguineous Chinese proband with HCM. Squares and circles denote males and females respectively. Individuals labelled with a slash were deceased. Roman numerals indicate generations. Arrow indicates the proband.
Pedigree of the described nonconsanguineous Chinese proband with HCM. Squares and circles denote males and females respectively. Individuals labelled with a slash were deceased. Roman numerals indicate generations. Arrow indicates the proband.

Figure 2

Clinical Photos. Electrocardiogram showing signs of left ventricular hypertrophy using sokolow-lyon criteria.
Clinical Photos. Electrocardiogram showing signs of left ventricular hypertrophy using sokolow-lyon criteria.

Figure 3

Transthoracic echocardiogram of hypertrophic cardiomyopathy with left ventricular outflow tract (LVOT) obstruction. (A) Diastolic short axis view. (B) M-mode parasternal long axis view demonstrating systolic anterior motion (SAM) of the mitral valve (arrow). (C) Continuous wave Doppler through the LVOT demonstrating a peak gradient of 65 mmHg.
Transthoracic echocardiogram of hypertrophic cardiomyopathy with left ventricular outflow tract (LVOT) obstruction. (A) Diastolic short axis view. (B) M-mode parasternal long axis view demonstrating systolic anterior motion (SAM) of the mitral valve (arrow). (C) Continuous wave Doppler through the LVOT demonstrating a peak gradient of 65 mmHg.

Figure 4

Cardiac magnetic resonance imaging of the index patient. (A) Diastolic short axis cine image shows the interventricular septal thickness is 37mm. (B) Short axis LGE image shows myocardial fibrosis. (C) Four-chamber cine image in diastolic. (D) Three-chamber cine image in systolic shows SAM.
Cardiac magnetic resonance imaging of the index patient. (A) Diastolic short axis cine image shows the interventricular septal thickness is 37mm. (B) Short axis LGE image shows myocardial fibrosis. (C) Four-chamber cine image in diastolic. (D) Three-chamber cine image in systolic shows SAM.

Figure 5

Partial DNA sequences in the MYBPC3 gene by Sanger sequencing of the family. The reference sequence NM_000256.3 of MYBPC3 gene was used.
Partial DNA sequences in the MYBPC3 gene by Sanger sequencing of the family. The reference sequence NM_000256.3 of MYBPC3 gene was used.

Figure 6

Relative expression of MYBPC3 mRNA.
Relative expression of MYBPC3 mRNA.
eISSN:
1311-0160
Język:
Angielski
Częstotliwość wydawania:
2 razy w roku
Dziedziny czasopisma:
Medicine, Basic Medical Science, other