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Rigshospitalet - a part of Copenhagen University Hospital
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Increased risk of sudden death in untreated Primary Carnitine Deficiency

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INTRODUCTION: Primary Carnitine Deficiency (PCD) affects fatty acid oxidation and is associated with cardiomyopathy and cardiac arrhythmia, but the risk of sudden death in PCD is unknown. The Faroe Islands have a high prevalence of PCD, 1:300. This study systematically investigated a possible association between untreated PCD and sudden death in young Faroese subjects.

METHODS: We investigated all medico-legal cases of sudden death between 1979-2012 among subjects below the age of 45. Stored biomaterial was examined with molecular genetic analysis to reveal PCD. We compared the prevalence of PCD among sudden death cases with that of the background population (0.23%) to calculate the odds ratio for sudden death with PCD.

RESULTS: Biomaterial was available and genetically analyzed from 53 of 65 sudden death cases (82%) in the Faroe Islands. Six (one male and five females) of the 53 cases were homozygous for the PCD related c.95A>G mutation - a prevalence of 11.3% (95%CI 5-23%) and an odds ratio of 54.3 (95% CI 21-138, p<0.0001) for the association between sudden death and untreated PCD. Only 11 of the 53 sudden death cases were women - of whom five were homozygous for the c.95A>G mutation (45.5%) yielding an odds ratio of 348.8 (95% CI 94-1,287, p<0.0001) for the association between sudden death and untreated PCD in females.

CONCLUSION: This study showed a strong association between sudden death and untreated PCD, especially in females. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalJournal of Inherited Metabolic Disease
Volume43
Issue number2
Pages (from-to)290-296
Number of pages7
ISSN0141-8955
DOIs
Publication statusPublished - Mar 2020

    Research areas

  • Faroe Islands, primary carnitine deficiency, sudden death

ID: 58252194