Genetic Markers of Cardiovascular Disease in Epilepsy
This observational study is looking into why some people with epilepsy, especially those at high risk for sudden unexpected death in epilepsy (SUDEP), might have underlying heart conditions. Researchers believe that some of these heart conditions, which can lead to dangerous heart rhythms, might have a genetic cause. The study aims to use advanced genetic testing (Next Generation Whole-Exome Sequencing) to find these genetic mutations in people aged 18 to 50 who have epilepsy, seizures, syncope (fainting), or other related heart issues. Blood relatives of these patients are also invited to participate. The goal is to understand if these genetic heart problems are present in epilepsy patients at highest risk of sudden death, with results expected in 3-5 years. The study is currently unclear on its recruitment status and does not involve any specific interventions.
- Study design
- This is an observational study with a planned enrollment of 600 participants. It is not a randomized trial and does not involve any specific interventions.
- What's involved
- Participants may be asked to provide a blood sample and/or buccal cells (from a swab or saliva) for genetic testing.
- Compensation
- Not stated in the trial record.
- Follow-up
- The primary endpoint, determining the presence of genetic cardiac mutations, will be measured at 3-5 years.
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Genetic Markers of Cardiovascular Disease in Epilepsy
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Virend K. Somers, MD PhD · PRINCIPAL_INVESTIGATOR · Mayo Clinic
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Using Next Generation Whole-Exome Sequencing, determine if an underlying genetic cardiac mutation is present in refractory epilepsy patients who are at highest risk of sudden death.3-5 years
SUDEP-7 is a risk profiling tool, with a score ranging from 0-12. Generally, a score greater than or equal to 3 is considered high risk. The investigators will select participants with a family history of epilepsy, seizures, cardiac arrest, sudden death, drowning, syncope or arrhythmia, as this markedly increases genetic yield. Next Generation Whole-Exome Sequencing will be performed with a focus on known genes implicated in sudden unexpected death syndromes (channelopathies, cardiomyopathies and aortopathies) and autonomic control. Where relevant, blood-relatives may be invited for genomic 'trio' analyses.