Anesthetic drugs & techniques

A Proposed North American Approach for Genetic Testing of Individuals at Risk for Malignant Hyperthermia

AnesthesiologyPublished Consensus statement

Methodological detailsproposed approach
  • Proposed approach

Recommendations

As issued by the authors

  1. Genetic testing of the three known involved genes (RYR1, CACNA1S, and STAC3) is the first line of testing for malignant hyperthermia susceptibility; sensitivity only up to 70%

  2. Contracture testing may be used to rule out the disorder for some individuals

  3. Stepwise approach using clinical history and assessment and interpretation of genetic variants to balance risks and benefits

Original publication

A Proposed North American Approach for Genetic Testing of Individuals at Risk for Malignant Hyperthermia. Anesthesiology. Published 10 March 2026. doi:10.1097/aln.0000000000005849

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