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What causes
congenital heart disease…
      …and why is it
    important to you?
         Fraz Ahmed Ismat, MD
         Clinical Associate in Pediatrics
     The Children's Hospital of Philadelphia
What is the cause of
congenital heart disease?
gene         disease




       Our hope…
genes        diseases




    …our reality.
What
 makes
   Jane
different
  from
  Sally?
Why is it important to
  know the causes of
congenital heart disease?
www.oatey.com
Congenital heart disease
is not just a plumbing problem




                             www.oatey.com
SUDDEN CARDIAC DEATH IN YOUNG CHILDREN WITH
            NEUROFIBROMATOSIS TYPE 1
                                                                                          and
                                                                                          matt
    RONALD J. KANTER, MD, MATTHEW GRAHAM, MD, DAVID FAIRBROTHER, MD, AND S. VICTOR SMITH, MD


                                                                                        infar
 ith neurofibromatosis type 1 (NF1) can manifest a characteristic vasculopathy that in
                                                                                        mech
  fatal coronary artery occlusion. We describe the clinical and pathological findings fr vent
   with NF1, a similar vasculopathy affecting their coronary arteries, and sudden       and
6;149:718-20)                                                                           or m
                                                                                        and
romatosis type 1 (NF1) is an autosomal dominant disorder with a prevalence of about 1:  mild
stations, skeletal abnormalities, and optic nerve gliomas are well-known associations; howeve
                                                                                        tissu
                                1
 pathy is less well appreciated. Rare cases of sudden death in adults with NF1 have been attrib
                                2-5                                                     abse
nt and myocardial infarction. We report 2 cases of sudden cardiac death in young unrelat
 ry artery vasculopathy.                                                                mia
                                                                                        VF c
                                  CASE PRESENTATIONS                                    to se
                                                                                        of pr
How I study
heart development…




                     flickr.com/people/casperonline
Congenital heart disease in
        Nf1 mutant mice
e   normal   f          g
                   Nf1 mutants




i            j          k
UCLA Scientists Use Statins To
Overcome Learning Disabilities In Mice
ScienceDaily (Nov. 11, 2005)
— In a surprise twist that
recalls the film classic
"Flowers for Algernon," but
adds a happy ending, UCLA
scientists used statins, a
popular class of cholesterol
drugs, to reverse the
attention deficits linked to the
leading genetic cause of
learning disabilities. The
Nov. 8 issue of Current            Statins helped reverse
                                   attention deficits in this
Biology reports the findings,      mouse, which was bred to
which were studied in mice         develop the leading genetic
bred to develop the disease,       cause of learning disabilities.
called neurofibromatosis 1         (Credit: UCLA: Weidong Li)
(NF1).
Blood vessel blockage in
Nf1 mutants can be treated
                      Nf1 mutant
normal   Nf1 mutant   + treatment
Genes & congenital heart disease
  have a complex relationship.
Genes & congenital heart disease
  have a complex relationship.

“Heart disease” genes have effects
  beyond the developing heart.
Genes & congenital heart disease
  have a complex relationship.

“Heart disease” genes have effects
  beyond the developing heart.

These far-reaching genetic effects
  may benefit from treatment.
flickr.com/people/midlander

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What causes congenital heart disease, and why it is important to you.

  • 1. What causes congenital heart disease… …and why is it important to you? Fraz Ahmed Ismat, MD Clinical Associate in Pediatrics The Children's Hospital of Philadelphia
  • 2. What is the cause of congenital heart disease?
  • 3. gene disease Our hope…
  • 4. genes diseases …our reality.
  • 5. What makes Jane different from Sally?
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Why is it important to know the causes of congenital heart disease?
  • 13. Congenital heart disease is not just a plumbing problem www.oatey.com
  • 14. SUDDEN CARDIAC DEATH IN YOUNG CHILDREN WITH NEUROFIBROMATOSIS TYPE 1 and matt RONALD J. KANTER, MD, MATTHEW GRAHAM, MD, DAVID FAIRBROTHER, MD, AND S. VICTOR SMITH, MD infar ith neurofibromatosis type 1 (NF1) can manifest a characteristic vasculopathy that in mech fatal coronary artery occlusion. We describe the clinical and pathological findings fr vent with NF1, a similar vasculopathy affecting their coronary arteries, and sudden and 6;149:718-20) or m and romatosis type 1 (NF1) is an autosomal dominant disorder with a prevalence of about 1: mild stations, skeletal abnormalities, and optic nerve gliomas are well-known associations; howeve tissu 1 pathy is less well appreciated. Rare cases of sudden death in adults with NF1 have been attrib 2-5 abse nt and myocardial infarction. We report 2 cases of sudden cardiac death in young unrelat ry artery vasculopathy. mia VF c CASE PRESENTATIONS to se of pr
  • 15. How I study heart development… flickr.com/people/casperonline
  • 16. Congenital heart disease in Nf1 mutant mice e normal f g Nf1 mutants i j k
  • 17. UCLA Scientists Use Statins To Overcome Learning Disabilities In Mice ScienceDaily (Nov. 11, 2005) — In a surprise twist that recalls the film classic "Flowers for Algernon," but adds a happy ending, UCLA scientists used statins, a popular class of cholesterol drugs, to reverse the attention deficits linked to the leading genetic cause of learning disabilities. The Nov. 8 issue of Current Statins helped reverse attention deficits in this Biology reports the findings, mouse, which was bred to which were studied in mice develop the leading genetic bred to develop the disease, cause of learning disabilities. called neurofibromatosis 1 (Credit: UCLA: Weidong Li) (NF1).
  • 18. Blood vessel blockage in Nf1 mutants can be treated Nf1 mutant normal Nf1 mutant + treatment
  • 19. Genes & congenital heart disease have a complex relationship.
  • 20. Genes & congenital heart disease have a complex relationship. “Heart disease” genes have effects beyond the developing heart.
  • 21. Genes & congenital heart disease have a complex relationship. “Heart disease” genes have effects beyond the developing heart. These far-reaching genetic effects may benefit from treatment.

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