To the Editor: Priori et al. (May 8 issue)1 describe a new risk-stratificationalgorithm for the long-QT syndrome, one based on genotype. Asthe authors note, the natural history of the long-QT syndromevaries not only among families with mutations that map to differentloci, but also among families with mutations in the same gene.The management algorithm they describe, however, does not fullyaccount for these types of variation.
To interpret the data presented, readers need to know the structureof the study population, whether the events seen were clusteredwithin families, and the effect of restricting the analysis. . . [Full Text of this Article]
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