RNOtherSeminars in oncology nursing2025

Associations Between Potassium Channel Genes and the Occurrence of Palpitations in Women Prior to Breast Cancer Surgery.

Ying Sheng, Matthew R Fleming, Carolyn J Harris and 8 others

PMID 41102034

WHAT IT FOUND

In 310 women before breast cancer surgery, six potassium channel gene variants were linked to palpitations.

This is a preliminary genetic finding, not a tested way to predict or treat symptoms.

Key findings

01After controlling for functional status, back pain, race and ethnicity, and other variants in the same gene, six SNPs among five potassium channel genes were associated with palpitations.

02For KCNK2 rs12757222, carrying one or two rare alleles was associated with a 55% decrease in the odds of belonging to the palpitations group.

03Palpitations were associated with lower annual household income, decreased functional status, higher comorbidity burden, and self-reported back pain.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The design was cross-sectional, so it cannot show that gene variants caused palpitations. It used a candidate-gene approach, so other potassium channel genes and variants were not examined. The sample was primarily White, well-educated, and had breast cancer, so results may not apply to more diverse people or other cancers. The authors reported the sample size was relatively small. Only 310 women provided blood samples for genetic analysis. Palpitations were measured with one self-report question about the past week.

The easy way to misread this

Do not treat these gene variants as a clinical test for palpitation risk. The study was cross-sectional, preliminary, used a candidate-gene approach, had a relatively small sample, and did not test prediction, treatment, or nursing care.

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