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Syndrome reference sheet
Generated 13 Oct 2026
Cardiology · Cardiology / Genetic cardiology

Holt–Oram syndrome

Also known as: Heart–hand syndrome type 1

Upper limb malformations with atrial septal defects and conduction disease.

Medical specialty
Cardiology
Subspecialty
Cardiology / Genetic cardiology
Sex & age distribution
Male: affected; Female: affected equally; Children: yes, congenital
Gene(s) involved
SALL4, TBX5

Etiology & mechanism

TBX5 haploinsufficiency disrupts cardiac and limb development.

Gene(s) involved (2)

SALL4TBX5

Symptoms & signs (8)

absent thumbsarrhythmiaatrial septal defectheart blockphocomeliaradial ray defectssinus bradycardiaventricular septal defect
SyndromeScope — educational reference. Content is model-generated and not clinically verified; always confirm against OMIM, Orphanet and GeneReviews before clinical use.