Inherited arrhythmias and gene therapy: Are there any ethical considerations to take into account?

World J Cardiol. 2023 Dec 26;15(12):623-626. doi: 10.4330/wjc.v15.i12.623.

Abstract

Interventional electrophysiology represents a relatively recent subspecialty within the field of cardiology. In the past half-century, there has been significant advancement in the development and implementation of innovative ablation treatments and approaches. However, the treatment of arrhythmias continues to be inadequate. Several arrhythmias, such as ventricular tachycardia and atrial fibrillation, pose significant challenges in terms of therapeutic efficacy, whether through interventional procedures or the administration of antiarrhythmic drugs. Cardiologists are engaged in ongoing research to explore innovative methodologies, such as genome editing, with the purpose of effectively managing arrhythmias and meeting the growing needs of patients afflicted with rhythm disturbances. The field of genome editing has significant promise and has the potential to serve as a highly effective personalized therapy for rhythm disorders in patients. However, several ethical issues must be considered.

Keywords: Arrhythmia; Channelopathies; Genome editing; Long QT; Mutation; Sudden cardiac death.

Publication types

  • Editorial