Arrhythmias

Arrhythmias are a consistent and potentially life-threatening manifestation in TANGO2-related metabolic encephalopathy and arrhythmias, an autosomal recessive disorder caused by mutations in the TANGO2 gene. This condition is characterized by recurrent metabolic crises featuring rhabdomyolysis, cardiac arrhythmias, and neurodegeneration, with onset typically in childhood presenting as acute encephalomyopathic symptoms including hypotonia, neurologic regression, and delayed psychomotor development. Progressive neurodegeneration leads to epilepsy, cognitive impairment, pyramidal and cerebellar signs, and loss of expressive language, while cardiac involvement manifests as severe arrhythmias, contributing significantly to morbidity and mortality.