Redefining genomic knowledg to personalise patient responses

We have expanded our panels by more than 50 genes associated or potentially associated with the development of inherited cardiovascular diseases. After an exhaustive literature review by our Cardiology team, evidence on all genes included has been updated and new genes have been added, so that we can stay at the forefront of genetic diagnosis.

 

In the new versions of our panels, we have decided to fully sequence relevant genes related to inherited heart disease (MYBPC3, FLNC, DSP, LMNA, BAG3, PKP2, SCN5A) and extend the capture and analysis of intronic regions to +/- 200 bp of others genes (NKX2-5, TGFB3, ALPK3, DSC2, DSG2, EMD, FHL1, GLA, KCNH2, LAMP2, MYBPC3, PLN, TBX20, KCNQ1, PRDM16, DES, MYH7, TRIM63, DMD, RBM20, TTN, FBN1, TGFB2, TGFBR1, TGFBR2). Deep intronic variants in some of these genes have been shown to be clearly associated with the development of the disease, which is why we have decided to extend the capture of the intronic regions of other genes with a similar behavior (loss of function as a disease mechanism).

Cardiology

Key features

368 genes associated with inherited heart disease

Including cardiomyopathies, channelopathies (sudden cardiac death), and aortic diseases. Some of these genes, such as FLNC, FHOD3, TRIM63, and ALPK3, and their association with cardiomyopathies were first described by our cardiology team.

Deep intronic variants in relevant genes

Health in Code Cardiology has shown in published articles that deep intronic variants can alter the splicing process in genes such as FBN1, MYBPC3, and KCNQ1. These data, which are not accessible in studies based on whole-exome sequencing, represent a differential value with respect to other strategies.

 

  • Genes where promoters, UTR, and introns are included: MYBPC3, FLNC, DSP, LMNA, BAG3, PKP2, SCN5A.
  • Genes where flanking intronic regions are covered within ±200 bp of the coding region: NKX2-5, TGFB3, ALPK3, DSC2, DSG2, EMD, FHL1, GLA, KCNH2, LAMP2, MYBPC3, PLN, TBX20, KCNQ1, PRDM16, DES, MYH7, TRIM63, DMD, RBM20, TTN, FBN1, TGFB2, TGFBR1, TGFBR2.

Inclusion of variants to calculate Polygenic Risk Scores (PRS)

Screening for different SNPs enables the calculation of different PRSs published in the literature. The PRSs for HCM, DCM, and Brugada syndrome (low heritability) are included in this version. It could also be useful to predict the phenotypic expression and the severity of the disease in certain genetic mutations with variable penetrance. HiC is the first genetic testing company to include PRS as a complementary service to traditional NGS studies.

Sequencing panels

Rare diseases with cardiac affectation

Who we are…

..and what sets us apart

How our panels are organized:

Phenotype-based panel testing: designed specifically for each phenotype, making it easier to request a study.

Priority-system-based gene variant filtering: genes are categorized as priority, secondary, and candidate genes. In terms of clinical diagnosis, the filtering process focuses on priority and secondary genes. Candidate genes are useful for research, possibly leading to new discoveries and treatment options.

Extensive custom library

Information on more than 35,000 probands with different inherited heart diseases sequenced by NGS at Health in Code.

 

  • We use the ACMG classification enriched with in-house generated information.
  • Internal count to determine if a variant has been previously detected by NGS and frequency of cases with a specific phenotype and frequency among internal controls, allowing us to calculate enrichment and OR.

Data from thousands of scientific articles curated by the team at Health in Code, with clinical information on more than 180,000 patients suffering from inherited diseases.

Personalized counseling

Information conveyed in the reports is translated into actionable information that is specific to each individual patient.

 

  • Reliable and reproducible pathogenicity criteria are provided for each variant: we explain what criteria we have applied and why.
  • Clinical and prognostic information for patient management.
  • Information on management and follow-up of relatives.

All of this is always accompanied by personalized counseling from our team.

Our Cardiology Team

Juan Pablo Ochoa Cardiología

Juan Pablo Ochoa, MD, PhD

Head of Cardiology

Ivonne Johana Cárdenas, MD, PhD

Cardiology Operations Manager

Almudena Amor, MD, PhD

Cardiology Scientific Manager

Soledad García, MD

Cardiology specialist

Xusto Fernández, MD

Cardiology specialist

María Valverde, MD

Cardiology specialist

Martin Ortiz, MD

Cardiology specialist

Diego Cabrera, MD

Cardiology specialist

Nöel Brögger, MD

Cardiology specialist

Iria Gómez

Genetic diagnostics analyst

Rosalía Peteiro

Genetic diagnostics analyst

Marlene Pérez, PhD

Genetic diagnostics analyst

Laura Cazón

Genetic Diagnosis Coordinator

María Sánchez, PhD

Genetic diagnostics technical analyst

Juan Pablo Ochoa Cardiología

Juan Pablo Ochoa, MD, PhD

Director del área de Cardiología

Soledad García, MD

Médico especialista en Cardiología

Ivonne Johana Cárdenas, MD, PhD

Médico especialista en Cardiología

Xusto Fernández, MD

Médico especialista en Cardiología

María Valverde, MD

Médico especialista en Cardiología

Almudena Amor, MD, PhD

Médico especialista en Cardiología

Diego Alonso, MD

Director del área de Ateroesclerosis y Comité Científico de Cardiología

Diego Cabrera, MD

Médico especialista en Cardiología

Iria Gómez

Analista especialista en diagnóstico genético

Rosalía Peteiro

Analista especialista en diagnóstico genético

Marlene Pérez, PhD

Analista especialista en diagnóstico genético

Paula Vélez, PhD

Analista especialista en diagnóstico genético

Laura Cazón

Coordinadora de Diagnóstico Genético

María Sánchez, PhD

Analista técnico de diagnóstico genético