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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