4.6 Article

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for the Use of Potent Volatile Anesthetic Agents and Succinylcholine in the Context of RYR1 or CACNA1S Genotypes

Journal

CLINICAL PHARMACOLOGY & THERAPEUTICS
Volume 105, Issue 6, Pages 1338-1344

Publisher

WILEY
DOI: 10.1002/cpt.1319

Keywords

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Funding

  1. National Institutes of Health (NIH) [R24GM115264, R24GM61374, R01AR053349]
  2. Intramural Research Program of the National Human Genome Research Institute
  3. NATIONAL HUMAN GENOME RESEARCH INSTITUTE [ZIAHG200359] Funding Source: NIH RePORTER

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The identification in a patient of 1 of the 50 variants in the RYR1 or CACNA1S genes reviewed here should lead to a presumption of malignant hyperthermia susceptibility (MHS). MHS can lead to life-threatening reactions to potent volatile anesthetic agents or succinylcholine. We summarize evidence from the literature supporting this association and provide therapeutic recommendations for the use of these agents in patients with these RYR1 or CACNA1S variants (updates at and ).

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