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Any long QT syndrome in which the cause of the disease is a mutation in the CALM1 gene.
Features include always present findings: Ventricular fibrillation, Cardiac arrest, Prolonged QTc interval, and Polymorphic ventricular tachycardia and others; and common findings: 2:1 atrioventricular block. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 4 | Ventricular fibrillation, Cardiac arrest, 2:1 atrioventricular block |
CALM1 encodes calmodulin 1 (149 aa). Calmodulin acts as part of a calcium signal transduction pathway by mediating the control of a large number of enzymes, ion channels, aquaporins and other proteins through calcium-binding. Highest expression in Brain Cerebellar Hemisphere (1,259 TPM) and Brain Frontal Cortex BA9 (1,139 TPM).
Long QT syndrome 14 is associated with mutations in the CALM1 gene on chromosome 14.
The CALM1 protein participates in IQGAPs bind CALM1 and KAMKMT transfers 3xCH3 groups from 3xAdoMet to CALM1 pathways.
CALM1 is classified as a druggable target (Druggable Genome, Enzyme, Ion Channel, and Kinase categories) with score 2.9.
Catecholaminergic polymorphic ventricular tachycardia (CPVT) should be suspected in individuals who have one or more of the following :
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
No approved treatments are currently available for long QT syndrome 14. The disease remains an area of unmet medical need.
To establish the extent of disease and needs in an individual diagnosed with catecholaminergic polymorphic ventricular tachycardia (CPVT), the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
Table 4.
Recommended Evaluations Following Initial Diagnosis in Individuals with Catecholaminergic Polymorphic Ventricular Tachycardia
Table 6.
Recommended Surveillance for Individuals with Catecholaminergic Polymorphic Ventricular Tachycardia
System/Concern | Evaluation | Frequency
Monitoring
therapy
efficacy | Cardiologist eval to incl:
No clinical trials have been registered for long QT syndrome 14.
40 publications have been identified in PubMed for long QT syndrome 14. Research spans Basic Science / Preclinical (33%), Case Report / Case Series (25%), and Diagnostic / Biomarker (10%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 13 | 33% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 11:56 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is an inherited arrhythmogenic disease characterized by cardiac electrical instability exacerbated by acute activation of the adrenergic nervous system. If untreated the disease is highly lethal, as approximately 30% of those affected experience at least one cardiac arrest and up to 80% have one or more syncopal spells. Few clinical studies have contributed to the understanding of the natural history of CPVT. The main clinical manifestation of CPVT is episodic syncope occurring during exercise or acute emotion. The underlying cause of these episodes is the onset of fast bidirectional or polymorphic ventricular tachycardia (VT).
Spontaneous recovery may occur when these arrhythmias self-terminate;
OR
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Gain-of-function pathogenic variants in RYR2 are associated with the typical CPVT phenotype (reproducible exercise-/emotion-induced bidirectional VT with structurally normal heart) while the much less frequently observed loss-of-function variants can cause ventricular fibrillation and sudden death in the absence of inducible arrhythmias . No genotype-phenotype correlations for CASQ2, CALM1, CALM2, CALM3, KCNJ2, TECRL, or TRDN have been identified.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
The mean penetrance of RYR2 pathogenic variants is 83% [Author, unpublished data]. Therefore, asymptomatic individuals with RYR2-related CPVT are a minority. To date, biallelic CASQ2 pathogenic variants have been 100% penetrant in reported individuals. Too few individuals with heterozygous CASQ2, KCNJ2, CALM1, CALM2, or CALM3-related CPVT have been reported to date to allow a robust estimate of penetrance.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Short-coupled ventricular tachycardia (SC-torsade de pointes [TdP]) is a clinical entity presenting with life-threatening polymorphic ventricular arrhythmias resembling in part the pattern of arrhythmias observed in individuals with catecholaminergic polymorphic ventricular tachycardia (CPVT). SC-TdP presents with polymorphic ventricular tachycardia (VT) occurring in the setting of a structurally normal heart and in the absence of any overt baseline EKG abnormality. However, the onset of SC-TdP is not clearly related to adrenergic stimuli (exercise or emotion) and is not associated with the typical bidirectional pattern of CPVT-related tachycardia.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Genetic testing for CALM1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for long QT syndrome 14 has been reported in the published literature.
System/Concern | Evaluation | Comment
| Resting EKG | Baseline
Holter monitoring | To assess arrhythmias that develop when heart rate
Exercise stress test1 | Baseline for diagnosis monitoring of therapy
Echocardiogram /or MRI | To evaluate for structural defects
Genetic
counseling | By genetics professionals2 | To inform affected persons their families re nature, MOI, implications of CPVT to facilitate medical personal decision making
CPVT = catecholaminergic polymorphic ventricular tachycardia; MOI = mode of inheritance
1. Exercise stress test should be performed until maximal tolerated effort, as some individuals have high heart rate threshold for induction of arrhythmias.
2. Medical geneticist, certified genetic counselor, certified advanced genetic nurse
Management of CPVT is summarized in a specific consensus document from the Heart Rhythm Association (HRS) and the European Heart Rhythm Association (EHRA) (full text), and in the recent version of the European Society of Cardiology (ESC) guidelines on ventricular arrhythmias (full ...
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Competitive sports and other strenuous exercise are always contraindicated for individuals with CPVT. All individuals showing exercise-induced arrhythmias should avoid physical activity, except for light training for those individuals showing good suppression of arrhythmias on exercise stress testing while on therapy. It is important to note that efficacy needs to be periodically retested . The risk for arrhythmias during sports in individuals who have pathogenic variants in genes associated with CPVT but no clinical phenotype (no exercise-induced arrhythmias) is not known; thus, it may be safest for these individuals to refrain from intense physical activity. Digitalis favors the onset of cardiac arrhythmias as a result of delayed afterdepolarization and triggered activity; therefore, digitalis should be avoided in all individuals with CPVT.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
View trials for long QT syndrome 14
Resting EKG
Exercise stress test, performed at maximal age-predicted heart rate. For those on beta-blocker therapy (in whom maximal heart rate cannot be reached), test should be performed at highest tolerated workload.
Holter monitoring
Echocardiogram MRI at least every 2 yrs
| • Every 6-12 mos (per severity of clinical manifestations)
Follow-up visits are very important esp until puberty, as body weight rapidly drug dosages must be continually adjusted.
Limitation on
physical activity | • Can be defined on basis of exercise stress test done in hospital setting
Use of commercially available heart rate monitoring devices for sports participation can be helpful in keeping heart rate in safe range during physical activity but should not be considered as alternative to medical follow-up visits.
Since heart rate threshold for onset of arrhythmias is often reproducible in the same person, the advice for allowed exercise intensity should be individualized based on results of exercise stress test.
| Review at each visit.
Source: GeneReviews — "Catecholaminergic Polymorphic Ventricular Tachycardia"
Phenotype severity distribution: 5 always present features, 1 common feature.
10 |
25% |
Testing and diagnosis research | 4 | 10% |
Clinical study results | 4 | 10% |
Disease patterns and progression | 4 | 10% |
Research summaries | 3 | 8% |
New treatment approaches | 2 | 5% |
Xun Z (2026). [PMID: 41810200](https://pubmed.ncbi.nlm.nih.gov/41810200/). *Transl Pediatr*. [Case Report / Case Series]
Kenyon C (2026). [PMID: 41733526](https://pubmed.ncbi.nlm.nih.gov/41733526/). *JACC Case Rep*. [Case Report / Case Series]
Hoang HD (2026). [PMID: 41467504](https://pubmed.ncbi.nlm.nih.gov/41467504/). *Hum Mol Genet*. [Case Report / Case Series]
Striessnig J (2026). [PMID: 42126403](https://pubmed.ncbi.nlm.nih.gov/42126403/). *J Gen Physiol*. [Basic Science / Preclinical]
Tzvi-Minker E (2026). [PMID: 42111135](https://pubmed.ncbi.nlm.nih.gov/42111135/). *Front Cardiovasc Med*. [Case Report / Case Series]
Lyu ZY (2026). [PMID: 41834208](https://pubmed.ncbi.nlm.nih.gov/41834208/). *Zhonghua Er Ke Za Zhi*. [Basic Science / Preclinical]
Tano A (2026). [PMID: 41582807](https://pubmed.ncbi.nlm.nih.gov/41582807/). *Circ Arrhythm Electrophysiol*. [Case Report / Case Series]
Abbas AA (2026). [PMID: 41675948](https://pubmed.ncbi.nlm.nih.gov/41675948/). *Saudi J Med Med Sci*. [Case Report / Case Series]
Dahlberg P (2026). [PMID: 42036388](https://pubmed.ncbi.nlm.nih.gov/42036388/). *Physiol Rep*. [Clinical Trial Publication]
Haas AV (2025). [PMID: 39787048](https://pubmed.ncbi.nlm.nih.gov/39787048/). *J Clin Endocrinol Metab*. [Clinical Trial Publication]
AI-curated news mentioning long QT syndrome 14
Updated Mar 11, 2026
A recent study published in PubMed examines the differential effects of non-selective and cardio-selective beta-blockers on ECG parameters in patients with long QT syndrome type 1. The findings could inform treatment strategies for this rare cardiac condition.