LMNA–ассоциированная дилатационная кардиомиопатия
https://doi.org/10.51922/2616-633X.2025.9.1.2483
Аннотация
Ламин-ассоциированная дилатационная кардиомиопатия – это генетические заболевания, являющиеся причиной быстропрогрессирующей сердечной недостаточности (СН), различных аритмий и нарушений проводимости и высокого риска внезапной сердечной смерти (ВСС). Представлено клиническое наблюдение пациента с кардиоламинопатией, обусловленной мутациями в гене LMNA, ранними проявлениями которой были быстропрогрессирующая СН, систолическая дисфункция желудочков сердца, аномалия клапанного аппарата, наджелудочковые и желудочковые нарушения ритма и проводимости. Показана эволюция клинических проявлений за период наблюдения, и обсуждены вопросы стратификации риска внезапной сердечной смерти и стратегия ее профилактики при данной патологии.
Об авторах
С. М. КомиссароваБеларусь
220036, ул. Розы Люксембург, д. 110Б, Минск
Н. М. Ринейская
Беларусь
220036, ул. Розы Люксембург, д. 110Б, Минск
Н. Н. Чакова
Беларусь
220072, ул. Академическая, д. 27, Минск
С. С. Ниязова
Беларусь
220072, ул. Академическая, д. 27, Минск
А. Ю. Дубовик
Беларусь
220036, ул. Розы Люксембург, д. 110Б, Минск
А. А. Ефимова
Беларусь
220036, ул. Розы Люксембург, д. 110Б, Минск
Список литературы
1. Haas J., Frese K.S., Peil B., et al. Atlas of the clinical genetics of human dilated cardiomyopathy. Eur Heart J, 2015, vol. 36(18), pp. 1123-35a. https://doi.org/10.1093/eurheartj/ehu301.
2. Elliott P., Andersson B., Arbustini E., et al. Classification of the cardiomyopathies: a position statement from the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J, 2008, vol. 29(2), pp. 270-6. https://doi.org/10.1093/eurheartj/ehm342.
3. Sedaghat-Hamedani F., Katus H.A., Meder B. Precision medicine for cardiovascular disease: Learning lessons from cardiomyopathies. Herz, 2018, vol. 43(2), pp. 123-130. https://doi.org/10.1007/s00059-017-4667-x.
4. Rosario K.F., Karra R., Amos K., et al. LMNA Cardiomyopathy: Important Considerations for the Heart Failure Clinician. J Card Fail, 2023, vol. 29(12), pp. 1657-1666. https://doi.org/10.1016/j.cardfail.2023.08.016.
5. Zhou H., Tan L., Lu T., et al. Identification of Target Genes and Transcription Factors in Mice with LMNA-Related Dilated Cardiomyopathy by Integrated Bioinformatic Analyses. Med Sci Monit, 2020, vol. 26, pp. e924576. https://doi.org/10.12659/MSM.924576.
6. Gerbino A., Procino G., Svelto M., Carmosino M. Role of Lamin A/C Gene Mutations in the Signaling Defects Leading to Cardiomyopathies. Front Physiol, 2018, vol. 9, pp. 1356. https://doi.org/10.3389/fphys.2018.01356.
7. Brodt C., Siegfried J.D., Hofmeyer M., et al. Temporal relationship of conduction system disease and ventricular dysfunction in LMNA cardiomyopathy. J Card Fail, 2013, vol. 19(4), pp. 233-9. https://doi.org/10.1016/j.cardfail.2013.03.001.
8. Hasselberg N.E., Haland T.F., Saberniak J., et al. Lamin A/C cardiomyopathy: young onset, high penetrance, and frequent need for heart transplantation. Eur Heart J, 2018, vol. 39(10), pp. 853-860. https://doi.org/10.1093/eurheartj/ehx596.
9. Escobar-Lopez L., Ochoa J.P., Mirelis J.G., et al. Association of Genetic Variants with Outcomes in Patients with Nonischemic Dilated Cardiomyopathy. J Am Coll Cardiol, 2021, vol. 78(17), pp. 1682-1699. https://doi.org/10.1016/j.jacc.2021.08.039.
10. Towbin J.A., McKenna W.J., Abrams D.J., et al. 2019 HRS expert consensus statement on evaluation, risk stratification, and management of arrhythmogenic cardiomyopathy. Heart Rhythm, 2019, vol. 16(11), pp. e301-e372. https://doi.org/10.1016/j.hrthm.2019.05.007.
11. Wang X., Zabell A., Koh W., Tang W.H. Lamin A/C Cardiomyopathies: Current Understanding and Novel Treatment Strategies. Curr Treat Options Cardiovasc Med, 2017, vol. 19(3), pp. 21. https://doi.org/10.1007/s11936-017-0520-z.
12. Kayvanpour E., Sedaghat-Hamedani F., Amr A., et al Genotype-phenotype associations in dilated cardiomyopathy: meta-analysis on more than 8000 individuals. Clin Res Cardiol, 2017, vol. 106(2), pp. 127-139. https://doi.org/10.1007/s00392-016-1033-6.
13. Pasotti M., Klersy C., Pilotto A., et al. Long-term outcome and risk stratification in dilated cardiolaminopathies. J Am Coll Cardiol, 2008, vol. 52(15), pp. 1250-60. https://doi.org/10.1016/j.jacc.2008.06.044.
14. Alba A.C., Foroutan F., Duero Posada J., et al. Implantable cardiac defibrillator and mortality in non-ischaemic cardiomyopathy: an updated meta-analysis. Heart, 2018, vol. 104(3), pp. 230-236. https://doi.org/10.1136/heartjnl-2017-311430.
15. Kumar S., Baldinger S.H., Gandjbakhch E., et al. Long-Term Arrhythmic and Nonarrhythmic Outcomes of Lamin A/C Mutation Carriers. J Am Coll Cardiol, 2016, vol. 68(21), pp. 2299-2307. https://doi.org/10.1016/j.jacc.2016.08.058.
16. Wahbi K., Ben Yaou R., Gandjbakhch E., et al. Development and Validation of a New Risk Prediction Score for Life-Threatening Ventricular Tachyarrhythmias in Laminopathies. Circulation, 2019, vol. 140(4), pp. 293-302. https://doi.org/10.1161/CIRCULATIONAHA.118.039410.
17. Feldman T., Kar S., Rinaldi M., et al. EVEREST Investigators. Percutaneous mitral repair with the MitraClip system: safety and midterm durability in the initial EVEREST (Endovascular Valve Edge-to-Edge REpair Study) cohort. J Am Coll Cardiol, 2009, vol. 54(8), pp. 686-94. https://doi.org/10.1016/j.jacc.2009.03.077.
18. Petrie M.C., Connelly D.T., Gardner R.S. Who needs an implantable cardioverter-defibrillator? Controversies and opportunities after DANISH. Eur J Heart Fail, 2018, vol. 20(3), pp. 413-416. https://doi.org/10.1002/ejhf.1135.
19. Crasto S., My I., Di Pasquale E. The Broad Spectrum of LMNA Cardiac Diseases: From Molecular Mechanisms to Clinical Phenotype. Front Physiol, 2020, vol. 11, pp. 761. https://doi.org/10.3389/fphys.2020.00761.
20. Chen S.N., Sbaizero O., Taylor M.R.G. et al. Lamin A/C Cardiomyopathy: Implications for Treatment. Curr Cardiol Rep, 2019, vol. 21(12), pp. 160. https://doi.org/10.1007/s11886-019-1224-7.
21. Anastasiou V., Papazoglou A.S., Gossios T., et al. Prognostic implications of genotype findings in non-ischaemic dilated cardiomyopathy: A network meta-analysis. Eur J Heart Fail, 2024, vol. 26(10), pp. 2155-2168. https://doi.org/10.1002/ejhf.3403.
22. Taylor M.R., Fain P.R., Sinagra G., et al. Familial Dilated Cardiomyopathy Registry Research Group. Natural history of dilated cardiomyopathy due to lamin A/C gene mutations. J Am Coll Cardiol, 2003, vol. 41(5), pp. 771-80. https://doi.org/10.1016/s0735-1097(02)02954-6.
23. van Spaendonck-Zwarts K.Y., van Rijsingen I.A., van den Berg M.P., et al. Genetic analysis in 418 index patients with idiopathic dilated cardiomyopathy: overview of 10 years’ experience. Eur J Heart Fail, 2013, vol. 15(6), pp. 628-36. https://doi.org/10.1093/eurjhf/hft013.
24. Jansweijer J.A., Nieuwhof K., Russo F., et al. Truncating titin mutations are associated with a mild and treatable form of dilated cardiomyopathy. Eur J Heart Fail, 2017, vol. 19(4), pp. 512-521. https://doi.org/10.1002/ejhf.673.
25. Tayal U., Newsome S., Buchan R., et al. Phenotype and Clinical Outcomes of Titin Cardiomyopathy. J Am Coll Cardiol, 2017, vol. 70(18), pp. 2264-2274. https://doi.org/10.1016/j.jacc.2017.08.063.
26. Akinrinade O., Ollila L., Vattulainen S., et al. Genetics and genotype-phenotype correlations in Finnish patients with dilated cardiomyopathy. Eur Heart J, 2015, vol. 36(34), pp. 2327-37. https://doi.org/10.1093/eurheartj/ehv253.
27. Tobita T, Nomura S, Fujita T, et al. Genetic basis of cardiomyopathy and the genotypes involved in prognosis and left ventricular reverse remodeling. Sci Rep, 2018, vol. 8(1), pp. 1998. https://doi.org/10.1038/s41598-018-20114-9.
28. Ollila L., Nikus K., Holmström M., et al. Clinical disease presentation and ECG characteristics of LMNA mutation carriers. Open Heart, 2017, vol. 4(1), pp. e000474. https://doi.org/10.1136/openhrt-2016-000474.
Рецензия
Для цитирования:
Комиссарова С.М., Ринейская Н.М., Чакова Н.Н., Ниязова С.С., Дубовик А.Ю., Ефимова А.А. LMNA–ассоциированная дилатационная кардиомиопатия. Неотложная кардиология и кардиоваскулярные риски. 2025;9(1):2483-2490. https://doi.org/10.51922/2616-633X.2025.9.1.2483
For citation:
Komissarova S.M., Rineiska N.M., Chakova N.N., Niyazova S.S., Dubovik A.Yu., Efimova A.A. Lamin-related dilated cardiomyopathy. Emergency Cardiology and Cardiovascular Risks journal. 2025;9(1):2483-2490. (In Russ.) https://doi.org/10.51922/2616-633X.2025.9.1.2483