
Understanding Congenital Heart Disease: Diagnosis and Genetic Testing
Murmurs or cyanosis may prompt echocardiography, chest X-ray, cardiac MRI and ECG; testing for GATA4, NKX2-5 and TBX5 mutations adds recurrence risk information.

MD · MBA
Physician specializing in genetic analysis and personalized preventive medicine, and author of Outsmart Your Genes.
Brandon Colby is a physician-expert in the fields of genetic analysis and Personalized Preventive Medicine. He holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University's Graduate School of Business, and a degree in Genetics from the University of Michigan.
Dr. Colby is the author of the book Outsmart Your Genes and has developed numerous technologies that improve the analysis, interpretation, and actionability of genome sequencing data. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (ACMG), an Associate of the American College of Preventive Medicine (ACPM), and a member of the National Society of Genetic Counselors (NSGC).
Articles by Brandon Colby, MD are reviewed for accuracy by Sequencing's medical and scientific team. This page is for informational purposes and does not constitute medical advice.

Murmurs or cyanosis may prompt echocardiography, chest X-ray, cardiac MRI and ECG; testing for GATA4, NKX2-5 and TBX5 mutations adds recurrence risk information.

Involuntary rhythmic eye movements start at birth or in the first months and blur vision. SLC38A8 and PAX6 are implicated, and a saliva or blood sample can be tested.

Pulmonary veins that drain into the right atrium instead of the left cause TAPVR; its four types, echocardiography and prenatal genetic testing are covered here.

Nasal bone hypoplasia, sensorineural deafness and limb abnormalities form the CDHS triad, traced to a missense mutation in the paired domain of the PAX3 gene.

Macrocytic anemia, low reticulocyte counts and thumb or heart anomalies point to Diamond-Blackfan anemia, confirmed by marrow biopsy and RPS19 or RPL5 testing.

DIPG grows in the pons and mainly affects children aged 5 to 10. MRI and biopsy guide diagnosis, and H3K27M mutations are present in about 80% of cases.

Cancer of the glandular cells lining the duodenum often shows up late, with abdominal pain, weight loss and bleeding; endoscopy and biopsy confirm the diagnosis.

Fragile skin that blisters after minor friction defines epidermolysis bullosa; covered here are its four types, skin biopsy, carrier screening and prenatal options.