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Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.

Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.

期刊: Circ Genom Precis Med 日期: 2026-01-01 PMID: 41958385 DOI: 10.1161/CIRCGEN.125.005367 浏览: 47
作者: Durbin Matthew D, Helvaty Lindsey R, Posorske Alyx, Zhang Samuel X, Huang Manyan, Li Ming, Abreu Daniel, Fairman Korre, Geddes Gabrielle C, Helm Benjamin M, Landis Benjamin J, McEntire Alexis, Mitchell Dana K, Ware Stephanie M
D, D.M., R, H.L., Alyx, P., X, Z.S., Manyan, H., Ming, L., Daniel, A., Korre, F., C, G.G., M, H.B., J, L.B., Alexis, M., K, M.D., & M, W.S. (2026). Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.. Circ Genom Precis Med. https://doi.org/10.1161/CIRCGEN.125.005367
D DM, R HL, Alyx P, X ZS, Manyan H, Ming L, et al. Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.. Circ Genom Precis Med. 2026; doi: 10.1161/CIRCGEN.125.005367
D DM, R HL, Alyx P, et al. Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.[J]. Circ Genom Precis Med. 2026. DOI: 10.1161/CIRCGEN.125.005367.
@article{d2026,
  author = {Durbin Matthew D and Helvaty Lindsey R and Posorske Alyx and Zhang Samuel X and Huang Manyan and Li Ming and Abreu Daniel and Fairman Korre and Geddes Gabrielle C and Helm Benjamin M and Landis Benjamin J and McEntire Alexis and Mitchell Dana K and Ware Stephanie M},
  title = {Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.},
  journal = {Circ Genom Precis Med},
  year = {2026},
  doi = {10.1161/CIRCGEN.125.005367},
  note = {PMID: 41958385},
}
TY  - JOUR
AU  - Durbin Matthew D
AU  - Helvaty Lindsey R
AU  - Posorske Alyx
AU  - Zhang Samuel X
AU  - Huang Manyan
AU  - Li Ming
AU  - Abreu Daniel
AU  - Fairman Korre
AU  - Geddes Gabrielle C
AU  - Helm Benjamin M
AU  - Landis Benjamin J
AU  - McEntire Alexis
AU  - Mitchell Dana K
AU  - Ware Stephanie M
TI  - Rapid Genome Sequencing Shows Diagnostic Utility in Infants With Congenital Heart Defects.
T2  - Circ Genom Precis Med
PY  - 2026
DO  - 10.1161/CIRCGEN.125.005367
AN  - PMID:41958385
ER  - 

摘要

Congenital heart disease (CHD) is the most common birth defect and a leading cause of infant mortality. CHD often has a genetic cause, and recent studies demonstrate the utility of genetic testing. In clinical practice, genetic testing continues to evolve, and the incorporation of rapid genome sequencing (rGS) in CHD is a recent development that requires evaluation. Although smaller studies demonstrate the value of rGS, they also highlight the burden of results interpretation. We analyzed genetic testing in CHD at 2 time points, in 2018 and from 2022 to 2023, across a change in clinical testing guidelines from chromosome microarray to rGS. In an analysis of 421 hospitalized infants with CHD, genetic testing was performed in 77.7%, and the rate was consistent across time and in all patient subtypes analyzed. There was a significant shift in testing modalities, where in 2018, chromosome microarray was the most common test performed, with diagnostic results for CHD in 14.3%, whereas in 2022 to 2023, rGS was the most frequent test performed, with results diagnostic for CHD in 16.9%. In addition, rGS identified 44% more unique genetic diagnoses than chromosome microarray. This is the most extensive study to highlight the value of rGS in patients with CHD. These findings have important implications for CHD patient management.

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