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当前位置:药药网 / 数据中心 / 临床注释-2,变异和临床注释数据
地氟醚;安氟醚;氟烷;异氟醚;甲氧基氟醚;七氟醚;琥珀胆碱
临床注释ID
1183705802
药物名称(英)
desflurane;enflurane;halothane;isoflurane;methoxyflurane;sevoflurane;succinylcholine
变异单倍型
rs118192176
基因
RYR1
证据级别
1A
水平覆盖
水平修饰符
Rare Variant; Tier 1 VIP
表现型类别(英)
Toxicity
表现型类别
毒性
分数
103.75
PMID计数
21
计数的证据
23
表现型
恶性高热
表现型(英)
Malignant Hyperthermia
最新日期
2021/3/24 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1183705802
专业人口(英)
Pediatric
专业人口
儿科
临床等位基因
id
等位基因
注释文本
826
GG
Patients with the rs118192176 GG genotype may have a decreased, but not absent, risk for malignant hyperthermia based on this variant when treated with volatile anesthetics (desflurane, enflurane, halothane, isoflurane, methoxyflurane, sevoflurane) and/or succinylcholine as compared to patients with the AA or AG genotype. Other genetic or clinical factors may also influence the risk for malignant hyperthermia.
825
AG
Patients with the rs118192176 AG genotype may develop malignant hyperthermia when treated with volatile anesthetics (desflurane, enflurane, halothane, isoflurane, methoxyflurane, sevoflurane) and/or succinylcholine as compared to patients with the GG genotype. Other genetic or clinical factors may also influence the risk for malignant hyperthermia.
824
AA
Patients with the rs118192176 AA genotype may develop malignant hyperthermia when treated with volatile anesthetics (desflurane, enflurane, halothane, isoflurane, methoxyflurane, sevoflurane) and/or succinylcholine as compared to patients with the GG genotype. Other genetic or clinical factors may also influence the risk for malignant hyperthermia.
临床证据
id
证据的ID
总结
854
1447987489
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
853
1447961278
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
852
1447960979
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
851
1447960725
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
850
1447952506
Genotype AG is associated with increased risk of Malignant Hyperthermia when exposed to isoflurane as compared to genotype GG.
849
1447948711
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
848
1447948701
Genotype AG is associated with increased risk of Malignant Hyperthermia when exposed to succinylcholine and volatile anesthetics as compared to genotype GG.
847
1447675343
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
846
1447674556
Genotype AG is associated with increased risk of Malignant Hyperthermia when exposed to halothane and succinylcholine as compared to genotype GG.
845
1447674364
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
844
1447674045
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
843
1447672839
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
842
1447672492
Allele A is associated with Malignant Hyperthermia as compared to allele G.
841
1447672429
Genotype AG is associated with Malignant Hyperthermia as compared to genotype GG.
840
1445297032
Allele A is associated with increased risk of Malignant Hyperthermia in people with increased creatine kinase level as compared to allele G.
839
1445198675
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
838
1445124450
Genotype AG is associated with increased risk of Malignant Hyperthermia as compared to genotype GG.
837
1444697995
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
836
1444697831
Allele A is associated with increased risk of Malignant Hyperthermia as compared to allele G.
835
1444697633
Allele A is associated with increased risk of Malignant Hyperthermia, Brain Edema and Brain Ischemia as compared to allele G.
834
1184510579
Allele A is associated with increased risk of Malignant Hyperthermia when exposed to desflurane, enflurane, halothane, isoflurane, sevoflurane or succinylcholine as compared to allele G.
833
1447674795
Genotype AG is associated with sensitivity to caffeine or halothane in muscle.
832
PA166180457
Annotation of CPIC Guideline for desflurane, enflurane, halothane, isoflurane, methoxyflurane, sevoflurane, succinylcholine and CACNA1S, RYR1
临床病史
id
类型
评论
1229
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1228
Update
Drugs kept combined based on specifics of Malignant Hyperthermia diagnostics and CPIC guideline/EMHG inclusion.
1227
Update
Assigned LOE 1A since variant listed in recommendation of CPIC guideline
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