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    • Curry, Cynthia J1
    • Toriello, Helga V1

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    • homocysteine1
    • MTHFR polymorphism1
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    ACMG Statements and Guidelines

    These online statements and guidelines are definitive and may be cited using the digital object identifier (DOI). These recommendations are designed primarily as an educational resource for medical geneticists and other healthcare providers to help them provide quality medical genetics services; they should not be considered inclusive of all proper procedures and tests or exclusive of other procedures and tests that are reasonably directed to obtaining the same results. Please refer to the leading disclaimer in each document for more information.

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    • ACMG Practice Guideline
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      ACMG Practice Guideline: lack of evidence for MTHFR polymorphism testing

      Genetics in Medicine
      Vol. 15Issue 2p153–156Published in issue: February, 2013
      • Scott E. Hickey
      • Cynthia J. Curry
      • Helga V. Toriello
      Cited in Scopus: 106
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        MTHFR polymorphism testing is frequently ordered by physicians as part of the clinical evaluation for thrombophilia. It was previously hypothesized that reduced enzyme activity of MTHFR led to mild hyperhomocysteinemia which led to an increased risk for venous thromboembolism, coronary heart disease, and recurrent pregnancy loss. Recent meta-analyses have disproven an association between hyperhomocysteinemia and risk for coronary heart disease and between MTHFR polymorphism status and risk for venous t­hromboembolism.
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