Preferred Label : Progressive familial heart block, type ia;
Symbol : PFHB1A;
CISMeF acronym : HBBD; PCCD; PFHBIA; PFHBI; PFHB1A;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Heart block, progressive familial, type I; Lenegre-lev disease; Cardiac conduction defect, progressive; Bundle branch block; Hereditary bundle branch system defect; PFHBIA; PFHBI; PCCD; HBBD;
Included titles and symbols : Heart block, nonprogressive; Cardiac conduction defect, nonprogressive;
Description : Progressive familial heart block type I (PFHBI, PFHB1) is an autosomal dominant cardiac
bundle branch disorder that may progress to complete heart block (Brink and Torrington,
1977; van der Merwe et al., 1986; van der Merwe et al., 1988). It is defined on electrocardiogram
by evidence of bundle branch disease, i.e., right bundle branch block, left anterior
or posterior hemiblock, or complete heart block, with broad QRS complexes. Progression
has been shown from a normal electrocardiogram to right bundle branch block and from
the latter to complete heart block. These electrocardiographic features differentiate
PFHB type I from progressive familial heart block type II (PFHBII, PFHB2; 140400),
in which the onset of complete heart block is associated with narrow complexes. Electrocardiographically
the changes represent, respectively, bundle branch disease (PFHB1) and atrioventricular
nodal disease with an atrioventricular block and an idionodal escape rhythm (PFHB2).
PFHBI is manifested symptomatically when complete heart block supervenes, either with
dyspnea, syncopal episodes, or sudden death. Treatment, which is best managed by regular
electrocardiographic follow-up, is by the timely implantation of a pacemaker (Brink
et al., 1995). - Genetic Heterogeneity of Progressive Familial Heart Block Type I
Progressive familial heart block type IB (PFHB1B; 604559) is caused by mutation in
the TRPM4 gene (606936) on chromosome 19q13.32.;
Inheritance : Autosomal dominant;
Molecular basis : Caused by mutations in the sodium channel, voltage-gated, type V, alpha polypeptide
gene (SCN5A, 600163.0009);
Prefixed ID : #113900;
Origin ID : 113900;
UMLS CUI : C1879286;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
False automatic mappings
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)