Arrhythmogenic right ventricular cardiomyopathy
Causes
What causes arrhythmogenic right ventricular cardiomyopathy?
In approximately 60% of individuals with arrhythmogenic right ventricular cardiomyopathy (ARVC), a faulty gene is responsible. The most common genes known to be associated with ARVC are: DSC2, DSG2, DSP, JUP, PKP2, and TMEM43. Genes that are less commonly associated with ARVC include: CTNNA3, DES, LMNA, PLN, RYR2, TGFB3, and TTN. Many of these genes are formally called desmosomal genes. Desmosomal genes provide the blueprints for making desmosomes, which serve to support the role of heart muscle cells by attaching to one another. Desmosomes further provide strength to the heart muscle, as well as helping to cells talk to one another.
References
- McNally E, MacLeod H, Dellefave-Castillo L. Arrhythmogenic Right Ventricular Cardiomyopathy. 2005 Apr 18 [Updated 2017 May 25]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1131/ Accessed March 29, 2019.
- Genetic Home Reference. Arrhythmogenic right ventricular cardiomyopathy. https://ghr.nlm.nih.gov/condition/arrhythmogenic-right-ventricular-cardiomyopathy#synonyms. Accessed 29MAR2019.
More Causes Content
Is there a reason that arrhythmogenic right ventricular cardiomyopathy causes sudden death?
Is there a reason that arrhythmogenic right ventricular cardiomyopathy causes sudden death?
Most known gene changes, mutations, or variants associated with arrhythmogenic right ventricular cardiomyopathy (ARVC) are related to the creation and function of desmosomes. Desmosomes support the role of heart muscle cells attaching to one another. This further provides strength to the heart muscle, as well as helping to cells talk to one another. Desmosomes that are impacted by an abnormal formation and/or function, can cause cells heart muscle to detach from one another and ultimately die. Myocardium death is increased when the heart muscle is under stress such as during exercise. This causes the myocardium cells surrounding the right ventricle to be damaged, detach, die, and be replaced by fat and scar tissue called fibrofatty tissue. As abnormal tissue continues to accumulate, the walls of the right side of the heart (ventricle) are prone to stretching and unable to pump blood throughout the body the way it should. Much like electrical wiring in your house can be disrupted, the electrical signals responsible for your heartbeat can be interrupted and can cause deadly arrhythmias and sudden cardiac death.
References
- Genetic Home Reference. Arrhythmogenic right ventricular cardiomyopathy. https://ghr.nlm.nih.gov/condition/arrhythmogenic-right-ventricular-cardiomyopathy#synonyms. Accessed 29MAR2019.
- British Heart Foundation "Inherited heart conditions: Arrhythmogenic right ventricular cardiomyopathy". https://www.cardiomyopathy.org/downloads/information-section/bhf-booklets/arrhythmogenic-right-ventricular-cardiomyopathy.pdf Accessed 29MAR2019.