{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:35:34Z","timestamp":1787502934696,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T00:00:00Z","timestamp":1356652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Genetics"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:p>\n                    The aim of this study was to characterize cardiac features of patients with neurofibromatosis 1 (\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    ) and large deletions of the\n                    <jats:italic>\n                      <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    <\/jats:italic>\n                    gene region. The study participants were 16 patients with large\n                    <jats:italic>\n                      <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    <\/jats:italic>\n                    deletions and 16 age\u2010 and sex\u2010matched\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    patients without such deletions. All the patients were comprehensively characterized clinically and by echocardiography. Six of 16\n                    <jats:italic>\n                      <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    <\/jats:italic>\n                    deletion patients but none of 16 non\u2010deletion\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    patients have major cardiac abnormalities (p\u2009=\u20090.041). Congenital heart defects (\n                    <jats:styled-content style=\"fixed-case\">CHDs<\/jats:styled-content>\n                    ) include mitral insufficiency in two patients and ventricular septal defect, aortic stenosis, and aortic insufficiency in one patient each. Three deletion patients have hypertrophic cardiomyopathy. Two patients have intracardiac tumors.\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    patients without large deletions have increased left ventricular (\n                    <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>\n                    ) diastolic posterior wall thickness (p\u2009&lt;\u20090.001) and increased intraventricular diastolic septal thickness (p\u2009=\u20090.001) compared with a healthy reference population without\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    , suggestive of eccentric LV hypertrophy.\n                    <jats:styled-content style=\"fixed-case\">CHDs<\/jats:styled-content>\n                    and other cardiovascular anomalies are more frequent among patients with large\n                    <jats:italic>\n                      <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    <\/jats:italic>\n                    deletion and may cause serious clinical complications. Eccentric LV hypertrophy may occur in\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    patients without whole gene deletions, but the clinical significance of this finding is uncertain. All patients with clinical suspicion for\n                    <jats:styled-content style=\"fixed-case\">NF1<\/jats:styled-content>\n                    should be referred to a cardiologist for evaluation and surveillance.\n                  <\/jats:p>","DOI":"10.1111\/cge.12072","type":"journal-article","created":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T05:01:06Z","timestamp":1356670866000},"page":"344-349","source":"Crossref","is-referenced-by-count":39,"title":["Cardiac characterization of 16 patients with large\n                    <i>\n                      <scp>NF1<\/scp>\n                    <\/i>\n                    gene deletions"],"prefix":"10.1111","volume":"84","author":[{"given":"R","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Neurology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Department of Pediatrics University of Maryland  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"TS","family":"Mir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Kluwe","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Jett","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics University of British Columbia, and Child &amp; Family Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Kentsch","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital Itzehoe  Itzehoe Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Kehrer\u2010Sawatzki","sequence":"additional","affiliation":[{"name":"Institute of Human Genetics University of Ulm  Ulm Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JM","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics University of British Columbia, and Child &amp; Family Research Institute  Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u2010F","family":"Mautner","sequence":"additional","affiliation":[{"name":"Department of Neurology University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,28]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Neurofibromatosis: phenotype, natural history, and pathogenesis","author":"Friedman JM","year":"1999"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/humu.10299"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/humu.21254"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8628(19971128)73:1<80::AID-AJMG16>3.0.CO;2-N"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.2009.075937"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/humu.21271"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1101\/gad.8.9.1019"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ng1059"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8817.2005.00203.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00125817-200205000-00002"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/1096-8628(20001113)95:2<108::AID-AJMG4>3.0.CO;2-0"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2002.122121"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.2003.014761"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/hmg\/9.1.35"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/302709"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1988.00520290115023"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/humu.21340"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.3.e32"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.627224"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01272-4"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-006-9082-y"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.75.1.175"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)01064-9"},{"key":"e_1_2_8_25_1","first-page":"411","article-title":"Rare case of v. 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