Gender and age effects on ventricular repolarization abnormality in Japanese general carriers of a G643S common single nucleotide polymorphism for the KCNQ1 gene

Tomoya Ozawa, Makoto Ito, Shinji Tamaki, Takenori Yao, Takashi Ashihara, Yoshikuni Kita, Tomonori Okamura, Hirotsugu Ueshima, Minoru Horie

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13 Citations (Scopus)

Abstract

Background: The KCNQ1 single nucleotide polymorphism (SNP), G643S, is known to be associated with secondary long QT syndrome (LQTS) and to cause a mild reduction in KCNQ1 current. However, the precise incidence and its association with QT intervals remain unknown in the greater cohort of the population in Japan. Methods and Results: The genotype was screened at codon 643 of KCNQ1 in 992 residents of a farming community. Eighty-eight individuals (female/male=52/36, 8.9%) were found to have a heterozygous G643S SNP. Matching both gender and age, we randomly selected 243 control (G643G) cases and compared the electrocardiogram parameters in both groups; QT, QTf (QT corrected by Fridericia's formula) intervals, the peak and the end of the T wave (Tpe) interval, and the Tpe/QT ratio. The latter 2 reflect the transmural dispersion of ventricular repolarization (TDR). In G643S carriers, both Tpe and Tpe/QT were significantly longer than in noncarriers, without significant QT prolongation. Both genders showed a tendency for an increase in QTf with aging. In females, both Tpe and Tpe/QT showed a similar significant increase with age, which was not observed in males. Conclusions: In elderly females, G643S might be an independent risk factor for secondary LQTS by causing a greater TDR.

Original languageEnglish
Pages (from-to)645-650
Number of pages6
JournalCirculation Journal
Volume70
Issue number6
DOIs
Publication statusPublished - 2006 Jun 5
Externally publishedYes

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Keywords

  • Electrocardiography
  • KCNQ1
  • Secondary LQTS
  • Single nucleotide polymorphism
  • Transmural dispersion of repolarization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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