INHERITED CARDIOMETABOLICS / FIRST RELEASE 0.11

A gene can refine the pathway. It cannot replace phenotype.

We separate established monogenic conditions from wellness-risk claims. Check which parts of a report are needed for a discussion with cardiology, endocrinology and medical-genetics teams—without diagnosis, risk calculation or treatment selection.

01Clinical area
02Starting point
INHERITED PATHWAY

Check result

Closing clears every field and the result. Do not change treatment, exercise or surveillance from this page: the complete report, clinical phenotype and a specialist team are required.

01 / FIRST LAYER

Genes are shown only within an exact clinical relationship.

01EXPERT-CURATED START

Familial hypercholesterolaemia

LDLR · APOB · PCSK9

What is established
ClinGen identifies these as the three main causative FH genes; an expert validity assessment is available for LDLR.
Boundary
A genetic result does not replace the lipid phenotype or exclusion of secondary causes. This is not a recommended panel list.
02EXPERT-CURATED START

Cardiomyopathies

MYH7 · MYBPC3 · TTN

What is established
The starting layer shows selected ClinGen classifications: MYH7/MYBPC3 for hypertrophic and TTN for dilated cardiomyopathy.
Boundary
One gene can relate to several phenotypes; the exact gene–condition pair, variant mechanism, ECG and imaging are required.
03EXPERT-CURATED START

Inherited arrhythmias

KCNQ1 · KCNH2 · SCN5A · RYR2 · CASQ2

What is established
The first layer uses expert ClinGen records for LQTS and CPVT—not every gene that may appear on a commercial panel.
Boundary
For syncope, chest pain or sudden deterioration, a genetics page is not a triage tool: urgent medical assessment is required.
04EXPERT-CURATED START

Monogenic diabetes

GCK · HNF1A · HNF4A · KCNJ11 · ABCC8 · INS

What is established
ISPAD describes distinct monogenic forms and links method selection to age at onset, phenotype and mechanism.
Boundary
The example genes are not a complete panel; a variant does not change treatment without diagnosis being confirmed by a specialist team.

03 / HOW TO READ A REPORT

Check more than the variant.

  1. 01

    Gene–condition pair

    One gene can have different mechanisms and phenotypes. Validity cannot be transferred from one condition to another.

  2. 02

    Variant class

    Transcript, HGVS, mechanism and expert classification matter more than a marketing label saying a ‘disease gene was found’.

  3. 03

    Technical coverage

    Panels, exomes and genomes differ in detecting CNVs, repetitive regions, mitochondrial and imprinting mechanisms. A negative result always depends on the assay.

  4. 04

    Phenotype and family

    ECG, imaging, lipids, age at onset, biochemistry and segregation are not sent to the site, but must be reviewed by the clinical team.