Cardiac genetics (A/P-AFF)
Adult and Paediatric Conditions in AFFECTED Patients
Emergency referrals
If any of the following are present or suspected, refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.
- No referrals to emergency relating to clinical genetics
Does your patient wish to be referred?
Minimum referral criteria
Does your patient meet the minimum referral criteria?
Category 1
Appointment within 30 days is desirable
- The patient has a personal and/or any family history (blood relatives) of a cardiac genetic diagnosis AND the patient or their partner is pregnant and an opinion/genetic testing will guide investigations, management, and outcome in pregnancy
Category 2
Appointment within 90 days is desirable
- The patient has a personal history of a cardiac genetic diagnosis AND is currently on or about to go onto a palliative care pathway
- The patient has a personal and/or any family history (blood relatives) of a cardiac genetic diagnosis, where a specific gene mutation HAS been identified on a genetic test
Category 3
Appointment within 365 days is desirable
- The patient has a personal and/or any family history (blood relatives) of a cardiac genetic diagnosis, where a specific gene mutation has NOT been identified on a genetic test
If your patient does not meet the minimum referral criteria
Consider other treatment pathways or an alternative diagnosis.
If you still need to refer your patient:
- Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
- Please note that your referral may not be accepted or may be redirected to another service
Other important information for referring practitioners
Not an exhaustive list
- The offer of an appointment by GHQ does NOT guarantee that the patient will be offered a publicly funded genetic test.
- If there are any queries regarding the appropriateness of a referral please contact GHQ.
- If the patient is an UNTESTED blood relative of a person with an identified gene mutation/chromosomal anomaly, please refer to the following CPC:
- Unaffected (predictive/presymptomatic testing)
- Affected (confirmatory testing)
- Patients will be asked to provide detailed family information either during a telephone consultation or via a family history questionnaire. One or more ‘Consent to Release information’ forms may be provided to forward to family members to obtain their consent to confirm details of the reported family history.
- The Queensland Cardiac Genetics Service is a collaborative multidisciplinary clinical service with both cardiology and clinical genetics staff in attendance. The clinics are primarily based at the Royal Brisbane and Women’s Hospital (adult) and Queensland Children’s Hospital (children), however regional clinics and telehealth appointments are also available.
- Examples of conditions where individuals might be referred include a confirmed or suspected diagnosis/family history of:
- ascending aortic aneurysm/aortopathy/vasculopathy
- hypertrophic cardiomyopathy
- arrhythmogenic right ventricular cardiomyopathy (ARVC)
- left ventricular non-compaction (LVNC)
- dilated cardiomyopathy
- long QT syndrome
- catecholaminergic polymorphic ventricular tachycardia (CPVT)
- Brugada syndrome
- sudden unexplained death in a young relative (less than 40 years of age)
- familial hypercholesterolaemia
- paediatric pulmonary hypertension
- Marfan syndrome (please ensure an echocardiogram and ophthalmology review has been requested)
- congenital heart defect
Referral requirements
A referral may be rejected without the following information.
Send referral
Hotline: 1300 364 938
Fax: 1300 364 952
Electronic: eReferral system
Mail: Metro North Central Patient Intake
Aspley Community Centre
776 Zillmere Road
ASPLEY QLD 4034
Health pathways
Access to Health Pathways is free for clinicians in Metro North Brisbane.
For login details email:
healthpathways
Login to Brisbane North Health Pathways:
brisbanenorth.
Resources
Clinical resources
- Named Referral Information Sheet
- Outpatient clinic information
- General referral criteria
- eReferral template