Notification Text

CardioStrands

Genetic heart diseases affect the structure and function of the heart and blood vessels, impacting around 1 in 100 people worldwide. Early detection of these inherited conditions is crucial, as they can often be silent yet carry significant risks if left undiagnosed.

CardioStrands offers comprehensive genetic testing to uncover the underlying causes of cardiovascular disease, helping clinicians tailor management and empowering families with knowledge about their heart health.

The conditions tested fall into four main categories:

  • Cardiomyopathies – disorders of the heart muscle (e.g., hypertrophic, dilated, restrictive cardiomyopathy)

  • Arrhythmias – abnormalities of the heart’s electrical rhythm (e.g., Long QT syndrome, Brugada syndrome)

  • Aortopathies – genetic disorders affecting the aorta and blood vessels (e.g., Marfan syndrome, Loeys-Dietz syndrome)

  • Familial Hypercholesterolemia (FH) – an inherited condition leading to extremely high cholesterol and increased risk of early heart disease

Additional Features for CardioStrands

1. Free Cascade Testing
– If a pathogenic variant is identified, up to 3 family members can be tested at no cost within 150 days.

2. NGS Technology
– Ensures high sensitivity and accuracy with targeted gene sequencing.

3. Pharmacogenetic Screening
– Includes SLCO1B1 variant to assess statin-induced myopathy risk.

4. Report Includes
– Detailed variant classification (Pathogenic, Likely Pathogenic, Variant of Uncertain Significance, Benign), clinical interpretation, and recommended next steps.

With CardioStrands, clinicians and patients gain access to precise genetic insights that support early intervention, informed treatment, and proactive family screening. We offer two specialized testing options:

  1. FH Comprehensive Panel

    • Covers 40 genes associated with Familial Hypercholesterolemia (FH)

    • Includes 1 pharmacogenomics (PGx) gene locus to guide treatment response

  2. Cardiogenetics Comprehensive Panel

    • A broad analysis of 254 genes linked to inherited heart diseases, including cardiomyopathies, arrhythmias, and aortopathies

FH Comprehensive Panel

Familial Hypercholesterolemia (FH) is a common yet underdiagnosed genetic disorder that drives early-onset cardiovascular disease.  The CardioStrands FH Comprehensive Panel provides a comprehensive genetic assessment of FH, phenocopies, and other rare lipid disorders. It includes genes with preliminary evidence and pharmacogenetic marker for statin response. This panel covers 41 genes, including all known FH-related genes, to deliver a more complete picture of inherited cholesterol disorders. 

Key Features
  • Comprehensive coverage – Includes all known FH genes and lipid metabolism genes
  • Includes cholesterol and lipid regulation genes (ABCA1, ANGPTL3, APOA1, APOC2, CETP, GPIHBP1, LIPC, LPL).
  • Pharmacogenetics included – Analysis of the SLCO1B1 gene to assess statin metabolism and predict muscle pain risk
  • Personalized treatment insights – Supports tailored cholesterol-lowering therapy based on genetic profile
  • Best for complex cases – Suitable for patients with unclear or atypical lipid profiles, treatment resistance, or family history of cardiovascular disease
This panel is ideal for:
  • Patients with uncertain lipid profiles.
  •  Those with early-onset CVD but no clear FH mutations in common causative genes.
  • Personalized medicine strategies (statin intolerance / pharmacogenomics).
  • Advanced lipid disorder diagnostics beyond FH.
FH Comprehensive Panel Gene List
ABCA1, ABCG5, ABCG8, ANGPTL3, APOA1, APOA4, APOA5, APOB, APOC2, APOC3, APOE, ATF6, CETP, CREB3L3, CYP27A1, CYP7A1, GALNT2, GCKR, GPD1, GPIHBP1, LCAT, LDLR, LDLRAP1, LIPA, LIPC, LIPG, LIPI, LMF1, LPL, LRP6, MTTP, MYLIP, OSBPL10, PCSK9, PLTP, PNPLA2, SAR1B, SCARB1, SLCO1B1, USF1, ZHX3
Cardiogenetics Comprehensive Panel

The Cardiogenetics Comprehensive Panel offers an extensive genetic testing solution for genetic cardiovascular conditions. This panel covers all major cardiovascular disorders, including Familial Hypercholesterolemia (FH), Cardiomyopathies, Arrhythmias, and congenital diseases related to the heart.

The gene list has been curated and validated based on the latest clinical practice guidelines for each condition. Early detection and precise diagnosis can significantly improve patient outcomes through personalized medical management and proactive family screening to identify family members who are at risk. Additionally, family members without the mutation will be discharged from further clinical surveillance.

Clinical Applications:
  • Familial Hypercholesterolemia (FH)
  • Cardiomyopathies
  • Arrhythmias
  • Congenital and other genetic heart diseases
Specimen Requirements
Type of sample3ml Blood (EDTA Tube)
Patient requirementNo fasting required
Storage & transportationStore and transport in ROOM TEMPERATURE. If the sample cannot be transported to the laboratory on the same day of collection, please store it at 2°C to 8°C.
Turnaround Time (TAT)14 – 21 working days

Cardiogenetics Comprehensive Panel Gene Listing
No.ConditionGene Name
1AortopathyFBN1, HCN4, SMAD2, SMAD3, TGFB2, TGFB3, TGFBR1, TGFBR2
2ArrythmiaCACNA1D
3Arrythmogenic Right
Ventricular Cardiomyopathy
(ARVC)
ACTN2, ANK2, CDH2, CTNNA3, DES, DSC2, DSG2, DSP, FLNC, JUP, LMNA,
MYBPC3, MYH7, MYL3, PKP2, PLN, SCN5A, TGFB3, TJP1, TMEM43, TTN
4Brugada Syndrome (BrS)KCNH2, SCN5A
5Catecholaminergic Polymorphic
Ventricular Tachycardia (CPVT)
ANK2, CALM1, CALM2, CALM3, CASQ2, PKP2, RYR2, SCN5A, TECRL, TRDN
6Dilated Cardiomyopathy (DCM)ABCC9, ACADVL, ACTC1, ACTN2, ALMS1, ALPK3, ANKRD1, BAG3, CAMK2D, CAP2,
CASZ1, CHRM2, CSRP3, CTF1, DES, DMD, DNAJC19, DOLK, DSC2, DSG2, DSP,
DTNA, EMD, EYA4, FKRP, FKTN, FLII, FLNC, GATA6, GATAD1, HAND1, HCN4, ILK, JUP,
LAMA4, LAMP2, LDB3, LMNA, LMOD2, LRRC10, MMUT, MYBPC3, MYH6, MYH7,
MYLK3, MYPN, MYZAP, NEBL, NEXN, NKX2-5, NPPA, NRAP, OBSCN, PCCA, PCCB,
PDLIM3, PLN, PPCS, PRDM16, PSEN1, PSEN2, RAF1, RBM20, RHBDF1, RPL3L,
RRAGC, RRAGD, SCN5A, SDHA, SGCD, SLC22A5, SLC6A6, SPEG, TAB2, TAFAZZIN,
TBX20, TCAP, TMPO, TNNC1, TNNI3, TNNI3K, TNNT2, TPM1, TTN, TXNRD2, VCL
7Hypertrophic Cardiomyopathy
(HCM)
ACADVL, ACTC1, ACTN2, AGL, ALPK3, ANKRD1, BAG3, CACNA1C, CACNB2, CASQ2,
COA5, COX15, CPT2, CRYAB, CSRP3, DES, DSP, ELAC2, FHL1, FHL2, FHOD3, FLNC,
FXN, GAA, GATA4, GLA, GUSB, GYG1, HADHA, HADHB, JPH2, KLHL24, LAMP2,
MLYCD, MMUT, MTO1, MYBPC3, MYH6, MYH7, MYL2, MYL3, MYL4, MYLK2, MYPN,
OBSCN, PLN, PRKAG2, RPS6KB1, SLC25A4, TCAP, TNNC1, TNNI3, TNNT2, TPM1,
TRIM55, TRIM63, TTR, TULP3
8LipidemiaABCA1, ABCG5, ABCG8, ANGPTL3, APOA1, APOA4, APOA5, APOC2, APOC3, APOE,
CETP, CREB3L3, CYP27A1, CYP7A1, GALNT2, GCKR, GPD1, GPIHBP1, LCAT,
LDLRAP1, LIPA, LIPC, LIPG, LIPI, LMF1, LPL, LRP6, MTTP, MYLIP, PLTP, PNPLA2,
SAR1B, SCARB1, ZHX3
9Lipidemia-basicAPOB, LDLR, PCSK9
10Lipidemia-NPMATF6, OSBPL10, USF1
11Lipidemia-PGx-rs4149056SLCO1B1
12Loeys-Dietz Syndrome (LDS)FBN1, SMAD2, SMAD3, TGFB2, TGFB3, TGFBR1, TGFBR2
13Long QT Syndrome (LQTS)AKAP9, ANK2, CACNA1C, CALM1, CALM2, CALM3, CAV3, KCNE1, KCNE2, KCNH2,
KCNJ2, KCNJ5, KCNQ1, SCN4B, SCN5A, SNTA1, TRDN
14Marfan SyndromeFBN1
15Non-dilated Left Ventricular
Cardiomyopathy (NDLVC)
ACTC1, ACTN2, ALPK3, CHRM2, DES, DMD, DMPK, DSP, DTNA, GATA6, HAND1,
HCN4, LAMP2, LDB3, LMNA, MIB1, MYBPC3, MYH7, NKX2-5, NNT, NONO, OBSCN,
PLEKHM2, PLN, PRDM16, RBM20, RYR2, SCN5A, TAFAZZIN, TBX20, TBX5, TMEM70,
TNNT2, TPM1, TTN
16Pulmonary Arterial Hypertension
(PAH)
ABCC8, ACVRL1, AQP1, ATP13A3, BMP10, BMPR1B, BMPR2, CAV1, EIF2AK4, ENG,
FBLN2, GDF2, GGCX, KCNA5, KCNK3, KDR, KLF2, KLK1, NFU1, PDGFD, SARS2,
SMAD9, SOX17, TBX4, TET2
17RASopathy and NoonanBRAF, CBL, HRAS, KRAS, LZTR1, MAP2K1, MAP2K2, MAP4K4, MRAS, NF1, NRAS,
PPP1CB, PTPN11, RAF1, RASA2, RIT1, RRAS, RRAS2, SHOC2, SOS1, SOS2, SPRED1,
SPRED2
18Short QT Syndrome (SQTS)CACNA1C, CACNA2D1, CACNB2, KCNH2, KCNJ2, KCNQ1, SCN5A, SLC22A5,
SLC4A3
19ThrombosisF2, F5, F9, PROC, PROS1, SERPINC1