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Multiple genome-wide association studies (GWAS) have identified numerous loci associated with atrial fibrillation (AF). However, the genes driving these associations and how they contribute to the AF pathogenesis remains poorly understood. To identify genes likely to be driving the observed association, we searched the FinnGen study consisting of 12,859 AF cases and 73,341 controls for rare genetic variants predicted to cause loss-of-function. A specific splice site variant was found in the SYNPO2L gene, located in an AF associated locus on chromosome 10. This variant was associated with an increased risk of AF with a relatively high odds ratio of 3.5 ( p = 9.9 × 10 -8 ). SYNPO2L is an important gene involved in the structural development and function of the cardiac myocyte and our findings thus support the recent suggestions that AF can present as atrial cardiomyopathy., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Clausen, Vad, Andersen and Olesen.)

The usual side effects of anabolic steroid abuse are thromboembolic, hepatic, cardiac, reproductive and psychiatric disorders. We report a case of lethal cerebral oedema associated with massive abuse of anabolic steroids in a previously healthy 21 year old man.

The clinical features of infectious mononucleosis are variable. The course is often asymptomatic and/or atypical. Serious complications are rare. The prognosis is often good, even though there may have been serious neurological symptoms. However, as in the case history presented here, persistent sequelae may be seen.