Cardiac/Non-cardiac Findings in Genetic Syndromes

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SYNDROME CARDIOVASCULAR FINDINGS COMMON NON-CARDIAC FINDINGS
Alagille PPS, PS, TOF, VSD, ASD, AS, CoA liver (cholestasis), craniofacial, neurologic, pancreas, kidney, eyes, skeletal (vertebrae), growth
Barth Dil. CMPY, non-compaction LV (NCLV) neuromuscular, immune (neutropenia), metabolism (mitochondria), growth, developmental delay
Cat-Eye HLHS, TAPVR eye (coloboma of iris), anal atresia w/ fistula, down slanting palpebral fissures, preauricular tags and/or pits, micrognathia, kidney (agenesis)
CHARGE (acronym) Wide variety Coloboma (iris & retina), Heart defects, Atresia choanae, Retardation & renal defects, Genitalia small in males, Ears cup-shaped & deaf, tracheoesphageal fistula
Down -Tri 21 CAVC, AVSD, VSD, ASD, aberrant subclavian artery, endocardial cushion defect craniofacial, developmental delay, gastrointestinal, respiratory, eyes, hearing loss, hypothyroid, hypotonia, skeletal, growth, leukemia
Duchenne Muscular Dystrophy CMPY, conduction defects, MVP progressive selective wasting of skeletal musculature
Edwards (Tri 18) Various, VSD, PDA, bicus AoV, bicus PV IUGR, polyhydramnios, single umbilical artery, craniofacial, developmental delay, growth, clenched hand w/ overlapping fingers, hypotonia, short sternum
Ehlers-Danlos (Multiple types) MVP,TVP, Ao dil, Arterial rupture, ASD thin skin, hyperextensible joints, musculoskeletal, bruising/bleeding, bowel, chronic pain, hernias
Ellis-Van Creveld ASD, single atrium disproportionate short extremities, small chest, postaxial polydactyly, nail hypoplasia, pelvic dysplasia, teeth
Fabry disease ishcemia, myocardial infarction, mitral insufficiency, left ventricular hypertrophy, cardiomyopathy, Arrhythmias, congestive heart failure pain (acroparathesis), skin/vascular lesions (angiokeratoma, hypohidrosis/anhidrosis), kidney function/failure, cerebrovascular, eye (comea, lens, conjunctiva, retina), gastrointestinal, hearing, pulmonary, psychiatric
Friedrich's Ataxia CMPY, Conduction defects progressive ataxia, muscle weakness
Goldenhar's syndrome - Hemifacial Microsomia - Oculoauriculo-vertebral Dysplasia VSD, PDA, TOF, CoA, ASD hemifacial microsomia, vertebrae (hemivertebrae or hypoplasia), ear malformation, hearing loss, preauricular tags and/or pits, eye, kidney
Heterotaxy (multiple types) Mirror image arrangement, Complex malformations Kartagener's syndrome : immotile sperm & cilia, abn lung, situs inversus, bronchioectasis, infertility, conductive deafness
Holt-Oram ASD, VSD, Conduction defects Ivemark: poly/asplenia, situs, abn lung Lobation, Heinz & Howell-Jolly bodies (peripheral blood) CNS
Heterotaxy syndrome: situs
upper limb, shoulder girdle, thumb
Homocystinuria Vascular thrombosis, Ao dilatation inborn error of metabolism, developmental delay, skeletal (marfanoid habitus), eye (lens dislocation, myopia) psychiatric, thromboembolism, osteoporosis
Hurler (MPS I) CMPY, valve stenosis/incompetence inborn error of metabolism, coarsened facial features, craniofacial, progressive skeletal dysplasia, developmental delay, eye (corneal clouding), hearing loss, growth, skeletal, hirsutism, large liver/spleen
Jacobsen HLHS, ASD, VSD growth, psychomotor retardation, craniofacial, bilateral camptodactyly, hammer toes, immune (isoimmune thrombocytopenia)
Jervell-Lange-Nielsen Prolonged Q-T interval, sudden death, syncopal attacks Sensorineural deafness, seizures
Kabuki CoA, bicus AoV, MVP, VSD, PS, AS, MS, TOF, Single V, DORV, TGA growth deficiency, craniofacial, skeletal
LEOPARD (acronym) PS, prolonged PR interval, CMPY Lentingines, EKG abnom., Ocular hypertelorism, Pulm sten. Abnorm of genitalia, Retardation of growth, Deafness
Marfan Ao dilatation, valve incompetence, MVP, Ao aneurysm skeletal, eye (lens dislocation), connective tissue
Mitochondrial DNA-Associated Leigh and NARP syndromes HOCM proximal neurogenic muscle weakness, sensory neuropathy, ataxia, pigmentary retinopathy
Myoclonic Epilepsy Associated with Ragged-Red Fibers (MERRF) CMPY myoclonus, epilepsy, ataxia, weakness, dementia, hearing, short stature, eyes
Myotonic dystrophy conduction defects, CMPY, MVP myotonia, muscle degeneration, frontal baldness, cataract, ptosis
Noonan PS, HOCM, ASD webbed neck, short stature, facies, skeletal (pectus), normal chromosomes, ptosis, low posterior hairline, blood (coagulation and platelets)
Osteogenesis imperfecta (multiple types) MVP, Ao regurg., Ao dilatation "bone fragility" resulting in multiple fractures, hearing loss, skeletal (wormian skull bones), growth, craniofacial
Patau (Tri 13) Various (80%), VSD, PDA, ASD neurological (holoprosencelphaly), craniofacial, rocker bottom feet, CL/CP, eyes, hearing loss, polydactyly, hand abnormalities, skeletal
Pompe's disease (Acid Maltase Deficiency) Glycogen storage disease of the heart inborn error of metabolism, muscle weakness, large liver and tongue
Rubinstein-Taybi Various, HLHS growth, craniofacial, eyes, skeletal, hirsuitism, broad thumbs and toes
Treacher-Collins VSD, PDA, ASD dysplastic ears, hearing loss, jaw hypoplasia, eyes (lower lid coloboma, absence of lower eyelashes), cleft palate, projection of scalp hair onto lateral cheek
Tuberous sclerosis Cardiac tumors (rhabdomyoma), Arrhythmias tumors, seizures, skin (lesions, depigmentation, café au lait spots), bone, teeth, kidney, developmental delay, behavior
Turner CoA, bicus AoV, AV stenosis, AS, HLHS, ASD, VSD congenital lymphedema, short stature, broad chest w/ widely spaced nipples, webbed neck, ovarian dysgenesis, kidney, hearing loss
VACTERL (acronym) Wide variety Vertebral anomalies, Anal atresia, Cardiac defects, Tracheoesophageal fistula, Renal anomalies (kidney), Limb reduction (radial-limb)
VCFS (acronym) also called 22q11, DiGeorge, Shprintzen IAA, truncus, TOF/PA, R AoA, aberrant subclavian artery, anom great vessels & others, VSD Velo (palate), Cardio, Facial (ears, nose), thymus, parathyroid, hypocalcemia, kidney, growth, gastrointestinal, speech, hearing, development, learning, psychiatric
Williams SVAS, SVPS, PPS, AS, PS, CMPY cocktail party personality, elfin facies w/ full lips, eyes (stellate iris pattern), hypercalcemia, growth, kidney, dental, hearing, musculoskeletal, learning/attention, developmental delay

Last Update 07-02-04

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References
1. Burn, John and Judith Goodship. Principles and Practice of Medical Genetics. 3rd ed.  New York, NY: Churchill Livingstone, 1996.
2. Harper, Peter S. Practical Genetic Counseling. 5th ed. :Reed Educational and Professional Publishing, 1998
3. Jones, Kenneth L. Smith’s Recognizable Patterns of Human Malformation. 5th ed. Philadelphia, PA: W.B. Saunders Company, 1997
4. Robinson, Arthur and Mary G. Linden. Clinical Genetics Handbook. Blackwell Scientific Publication, Inc., 1993
5. Website: OMIM (Online Mendelian Inheritance in Man)
6. Website: Genetests