Compound heterozygosity has been described in inherited arrhythmias, and usually associated with a more severe phenotype. Reports of this occurrence in Brugada syndrome patients are still rare. We report a study of genotype-phenotype correlation after the identification of new variants by genetic testing. We describe the case of an affected child with a combination of two different likely pathogenic SCN5A variants, presenting sinus node dysfunction, flutter and atrial fibrillation, prolonged HV interval, spontaneous type 1 Brugada pattern in the prepubescent age and familiar history of sudden death.
Compound Heterozygous SCN5A Mutations in a Toddler – Are they
Associated with a More Severe Phenotype?
SacilottoL, EpifanioHB, DarrieuxFCC, WulkanF, OliveiraTGM, HachulDT, PereiraAC, et al. Compound Heterozygous SCN5A Mutations in a Toddler – Are they
Associated with a More Severe Phenotype?. Arq. Bras.
Cardiol. 2017;108(1):70-3.
Sacilotto,Luciana; Epifanio,Hindalis Ballesteros; Darrieux,Francisco Carlos da Costa; Wulkan,Fanny; Oliveira,Theo Gremen Mimary; Hachul,Denise Tessariol; Pereira,Alexandre da Costa; Scanavacca,Mauricio Ibrahim. Compound Heterozygous SCN5A Mutations in a Toddler – Are they
Associated with a More Severe Phenotype?. Arq. Bras.
Cardiol., v. 108, n. 1, p. 70-73, Jan. 2017.
Sacilotto,L., Epifanio,H.B., Darrieux,F.C.C., Wulkan,F., Oliveira,T.G.M., Hachul,D.T., Pereira,A.C., & Scanavacca,M.I. (2017). Compound Heterozygous SCN5A Mutations in a Toddler – Are they
Associated with a More Severe Phenotype?. Arq. Bras.
Cardiol.,108(1), 70-73.
Sacilotto,Luciana and Epifanio,Hindalis Ballesteros and Darrieux,Francisco Carlos da Costa and Wulkan,Fanny and Oliveira,Theo Gremen Mimary and Hachul,Denise Tessariol and Pereira,Alexandre da Costa and Scanavacca,Mauricio Ibrahim. Compound Heterozygous SCN5A Mutations in a Toddler – Are they
Associated with a More Severe Phenotype?. Arq. Bras.
Cardiol. [online]. 2017, vol. 108, n. 1, [cited 2025-09-06], pp.70-73. Available from: <https://abccardiol.org/en/article/compound-heterozygous-scn5a-mutations-in-a-toddler-are-theyassociated-with-a-more-severe-phenotype/>. ISSN 0066-782X.
Figure 1
Recording of clinical history. A) wide QRS tachycardia at age 4;
B) sinus pauses; C) electrocardiogram of the proband in right upper
precorial leads after 3 years of follow-up, at age 8; D)
electrocardiogram in right upper precorial leads: ajmaline challenge
(mother). E) electrocardiogram in standard leads: ajmaline challenge
(father).