<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">emcardio</journal-id><journal-title-group><journal-title xml:lang="ru">Неотложная кардиология и кардиоваскулярные риски</journal-title><trans-title-group xml:lang="en"><trans-title>Emergency Cardiology and Cardiovascular Risks journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2616-633X</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/2616-633X.2022.6.1.1531</article-id><article-id custom-type="elpub" pub-id-type="custom">emcardio-94</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Клинический случай</subject></subj-group></article-categories><title-group><article-title>Клинический случай некомпактной кардиомиопатии с сопутствующим миопатическим синдромом и мутациями в генах LMNA и KCNH2</article-title><trans-title-group xml:lang="en"><trans-title>A clinical case of non-compaction cardiomyopathy with concomitant myopathic syndrome and mutations in the LMNA and KCNH2 genes</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Комиссарова</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Komissarova</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220036, ул. Розы Люксембург, д. 110Б, Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ринейская</surname><given-names>Н. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Rineiska</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220036, ул. Розы Люксембург, д. 110Б, Минск</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чакова</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Chakova</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220072, ул. Академическая, д. 27, Минск</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Долматович</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolmatovich</surname><given-names>T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220072, ул. Академическая, д. 27, Минск</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГУ «Республиканский научно-практический центр «Кардиология»</institution><country>Belarus</country></aff><aff xml:lang="ru" id="aff-2"><institution>ГНУ «Институт генетики и цитологии НАН Беларуси»</institution><country>Belarus</country></aff><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>27</day><month>06</month><year>2025</year></pub-date><volume>6</volume><issue>1</issue><fpage>1531</fpage><lpage>1534</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Комиссарова С.М., Ринейская Н.М., Чакова Н.Н., Долматович Т.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Комиссарова С.М., Ринейская Н.М., Чакова Н.Н., Долматович Т.В.</copyright-holder><copyright-holder xml:lang="en">Komissarova S., Rineiska N., Chakova N., Dolmatovich T.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://emcardio.bsmu.by/jour/article/view/94">https://emcardio.bsmu.by/jour/article/view/94</self-uri><abstract><p>Представлено клиническое наблюдение пациента с некомпактной кардиомиопатией, ранним развитием жизнеугрожающих нарушений ритма и проводимости, миопатическим синдромом и мутациями в генах LMNA и KCNH2. Обсуждены вопросы диагностики на основе визуализирующих технологий, сложной дифференциальной диагностики некомпактной кардиомиопатии и дилатационной кардиомиопатии, а также основные принципы лечения. Приведены основные положения европейских и американских экспертов по концепции выделения ламин-ассоциированных кардиомиопатий для обязательного молекулярно-генетического тестирования и в случае ее идентификации, ранней имплантации кардиовертера-дефибриллятора для профилактики внезапной сердечной смерти.</p></abstract><kwd-group xml:lang="ru"><kwd>некомпактная кардиомиопатия</kwd><kwd>миопатический синдром</kwd><kwd>мутации в генах LMNA и KCNH2</kwd></kwd-group><kwd-group xml:lang="en"><kwd>non-compaction cardiomyopathy</kwd><kwd>myopathic syndrome</kwd><kwd>mutations in the LMNA and KCNH2 genes</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Astejada M.N., Goto K., Nagano A., Ura S., Noguchi S., Nonaka I., Nishino I., Hayashi Y.K. Emerinopathy and laminopathy clinical, pathological and molecular features of muscular dystrophy with nuclear envelopathy in Japan. Acta Myol, 2007, vol. 26, no. 3, pp. 159-164.</mixed-citation><mixed-citation xml:lang="en">Astejada M.N., Goto K., Nagano A., Ura S., Noguchi S., Nonaka I., Nishino I., Hayashi Y.K. Emerinopathy and laminopathy clinical, pathological and molecular features of muscular dystrophy with nuclear envelopathy in Japan. Acta Myol, 2007, vol. 26, no. 3, pp. 159-164.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Worman H.J. Nuclear lamins and laminopathies. J Pathol, 2012, vol. 226, no. 2, pp. 316-325. DOI: 10.1002/path.2999.</mixed-citation><mixed-citation xml:lang="en">Worman H.J. Nuclear lamins and laminopathies. J Pathol, 2012, vol. 226, no. 2, pp. 316-325. DOI: 10.1002/path.2999.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Worman H.J., Bonne G. “Laminopathies”: a wide spectrum of human diseases. Exp Cell Res, 2007, vol. 313, no. 10, pp. 2121-2133. DOI: 10.1016/j.yexcr.2007.03.028.</mixed-citation><mixed-citation xml:lang="en">Worman H.J., Bonne G. “Laminopathies”: a wide spectrum of human diseases. Exp Cell Res, 2007, vol. 313, no. 10, pp. 2121-2133. DOI: 10.1016/j.yexcr.2007.03.028.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Parks S.B., Kushner J.D., Nauman D., Burgess D., Ludwigsen S., Peterson A., Li D., Jakobs P., Litt M., Porter C.B., Rahko P.S., Hershberger R.E. Lamin A/C mutation analysis in a cohort of 324 unrelated patients with idiopathic or familial dilated cardiomyopathy. Am Heart J, 2008, vol. 156, no. 1, pp. 161-169. DOI: 10.1016/j.ahj.2008.01.026.</mixed-citation><mixed-citation xml:lang="en">Parks S.B., Kushner J.D., Nauman D., Burgess D., Ludwigsen S., Peterson A., Li D., Jakobs P., Litt M., Porter C.B., Rahko P.S., Hershberger R.E. Lamin A/C mutation analysis in a cohort of 324 unrelated patients with idiopathic or familial dilated cardiomyopathy. Am Heart J, 2008, vol. 156, no. 1, pp. 161-169. DOI: 10.1016/j.ahj.2008.01.026.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">van Rijsingen I.A., Arbustini E., Elliott P.M., Mogensen J., Hermans-van Ast J.F., van der Kooi A.J., van Tintelen J.P., van den Berg M.P., Pilotto A., Pasotti M., Jenkins S., Rowland C., Aslam U., Wilde A.A., Perrot A., Pankuweit S., Zwinderman A.H., Charron P., Pinto Y.M. Risk factors for malignant ventricular arrhythmias in lamin a/c mutation carriers a European cohort study. J Am Coll Cardiol, 2012, vol. 59, no. 5, pp. 493-500. DOI: 10.1016/j.jacc.2011.08.078.</mixed-citation><mixed-citation xml:lang="en">van Rijsingen I.A., Arbustini E., Elliott P.M., Mogensen J., Hermans-van Ast J.F., van der Kooi A.J., van Tintelen J.P., van den Berg M.P., Pilotto A., Pasotti M., Jenkins S., Rowland C., Aslam U., Wilde A.A., Perrot A., Pankuweit S., Zwinderman A.H., Charron P., Pinto Y.M. Risk factors for malignant ventricular arrhythmias in lamin a/c mutation carriers a European cohort study. J Am Coll Cardiol, 2012, vol. 59, no. 5, pp. 493-500. DOI: 10.1016/j.jacc.2011.08.078.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Tester D.J., Will M.L., Haglund C.M., Ackerman M.J. Compendium of cardiac channel mutations in 541 consecutive unrelated patients referred for long QT syndrome genetic testing. Heart Rhythm, 2005, vol. 2, no. 5, pp. 507-517. DOI: 10.1016/j.hrthm.2005.01.020.</mixed-citation><mixed-citation xml:lang="en">Tester D.J., Will M.L., Haglund C.M., Ackerman M.J. Compendium of cardiac channel mutations in 541 consecutive unrelated patients referred for long QT syndrome genetic testing. Heart Rhythm, 2005, vol. 2, no. 5, pp. 507-517. DOI: 10.1016/j.hrthm.2005.01.020.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Schmitt J., Baumann S., Klingenheben T., Richter S., Duray G., Hohnloser S.H., Ehrlich J.R. Assessment of microvolt T-wave alternans in high-risk patients with the congenital long-QT syndrome. Ann Noninvasive Electrocardiol, 2009, vol. 14, no. 4, pp. 340-345. DOI: 10.1111/j.1542-474X.2009.00323.x.</mixed-citation><mixed-citation xml:lang="en">Schmitt J., Baumann S., Klingenheben T., Richter S., Duray G., Hohnloser S.H., Ehrlich J.R. Assessment of microvolt T-wave alternans in high-risk patients with the congenital long-QT syndrome. Ann Noninvasive Electrocardiol, 2009, vol. 14, no. 4, pp. 340-345. DOI: 10.1111/j.1542-474X.2009.00323.x.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Biliczki P., Girmatsion Z., Harenkamp S., Anneken L., Brandes R.P., Varro A., Marschall C., Herrera D., Hohnloser S.H., Nattel S., Ehrlich J.R. Cellular properties of C-terminal KCNH2 long QT syndrome mutations: description and divergence from clinical phenotypes. Heart Rhythm, 2008, vol. 5, no. 8, pp. 1159-1167. DOI: 10.1016/j.hrthm.2008.04.016.</mixed-citation><mixed-citation xml:lang="en">Biliczki P., Girmatsion Z., Harenkamp S., Anneken L., Brandes R.P., Varro A., Marschall C., Herrera D., Hohnloser S.H., Nattel S., Ehrlich J.R. Cellular properties of C-terminal KCNH2 long QT syndrome mutations: description and divergence from clinical phenotypes. Heart Rhythm, 2008, vol. 5, no. 8, pp. 1159-1167. DOI: 10.1016/j.hrthm.2008.04.016.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Steffensen A., Refaat M., David J.P., Mujezinovic A., Calloe K., Wojciak J., Nussbaum R.L., Scheinman M.M., Schmitt N. High incidence of functional ion-channel abnormalities in a consecutive Long QT cohort with novel missense genetic variants of unknown significance. Sci Rep, 2015, no. 5, pp. 10009. DOI: 10.1038/srep10009.</mixed-citation><mixed-citation xml:lang="en">Steffensen A., Refaat M., David J.P., Mujezinovic A., Calloe K., Wojciak J., Nussbaum R.L., Scheinman M.M., Schmitt N. High incidence of functional ion-channel abnormalities in a consecutive Long QT cohort with novel missense genetic variants of unknown significance. Sci Rep, 2015, no. 5, pp. 10009. DOI: 10.1038/srep10009.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Jenni R., Oechslin E., Schneider J., Attenhofer Jost C., Kaufmann P.A. Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart (British Cardiac Society), 2001, vol. 86, no. 6, pp. 666-671.</mixed-citation><mixed-citation xml:lang="en">Jenni R., Oechslin E., Schneider J., Attenhofer Jost C., Kaufmann P.A. Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart (British Cardiac Society), 2001, vol. 86, no. 6, pp. 666-671.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Petersen S.E., Selvanayagam J.B., Wiesmann F., Robson M.D., Francis J.M., Anderson R.H., Watkins H., Neubauer S. Left ventricular non-compaction: insights from cardiovascular magnetic resonance imaging. J Am Coll Cardiol, 2005, vol. 46, no. 1, pp. 101-115. DOI: 10.1016/j.jacc.2005.03.045.</mixed-citation><mixed-citation xml:lang="en">Petersen S.E., Selvanayagam J.B., Wiesmann F., Robson M.D., Francis J.M., Anderson R.H., Watkins H., Neubauer S. Left ventricular non-compaction: insights from cardiovascular magnetic resonance imaging. J Am Coll Cardiol, 2005, vol. 46, no. 1, pp. 101-115. DOI: 10.1016/j.jacc.2005.03.045.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Jacquier A., Thuny F., Jop B., Giorgi R., Cohen F., Gaubert J.Y., Vidal V., Bartoli J.M., Habib G., Moulin G. Measurement of trabeculated left ventricular mass using cardiac magnetic resonance imaging in the diagnosis of left ventricular non-compaction. Eur Heart J, 2010, vol. 31, no. 9, pp. 1098-1104. DOI: 10.1093/eurheartj/ehp595.</mixed-citation><mixed-citation xml:lang="en">Jacquier A., Thuny F., Jop B., Giorgi R., Cohen F., Gaubert J.Y., Vidal V., Bartoli J.M., Habib G., Moulin G. Measurement of trabeculated left ventricular mass using cardiac magnetic resonance imaging in the diagnosis of left ventricular non-compaction. Eur Heart J, 2010, vol. 31, no. 9, pp. 1098-1104. DOI: 10.1093/eurheartj/ehp595.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Sedaghat-Hamedani F., Haas J., Zhu F., Geier C., Kayvanpour E., Liss M., Lai A., Frese K., Pribe-Wolferts R., Amr A., Li D.T., Samani O.S., et al. Clinical genetics and outcome of left ventricular non-compaction cardiomyopathy. Eur Heart J, 2017, vol. 38, no. 46, pp. 3449-3460. DOI: 10.1093/eurheartj/ehx545.</mixed-citation><mixed-citation xml:lang="en">Sedaghat-Hamedani F., Haas J., Zhu F., Geier C., Kayvanpour E., Liss M., Lai A., Frese K., Pribe-Wolferts R., Amr A., Li D.T., Samani O.S., et al. Clinical genetics and outcome of left ventricular non-compaction cardiomyopathy. Eur Heart J, 2017, vol. 38, no. 46, pp. 3449-3460. DOI: 10.1093/eurheartj/ehx545.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Charron P., Arad M., Arbustini E., Basso C., Bilinska Z., Elliott P., Helio T., Keren A., McKenna W.J., Monserrat L., Pankuweit S., Perrot A., Rapezzi C., Ristic A., Seggewiss H., van Langen I., Tavazzi L. Genetic counselling and testing in cardiomyopathies: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J, 2010, vol. 31, no. 22, pp. 2715-2726. DOI: 10.1093/eurheartj/ehq271.</mixed-citation><mixed-citation xml:lang="en">Charron P., Arad M., Arbustini E., Basso C., Bilinska Z., Elliott P., Helio T., Keren A., McKenna W.J., Monserrat L., Pankuweit S., Perrot A., Rapezzi C., Ristic A., Seggewiss H., van Langen I., Tavazzi L. Genetic counselling and testing in cardiomyopathies: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J, 2010, vol. 31, no. 22, pp. 2715-2726. DOI: 10.1093/eurheartj/ehq271.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
