Holt–Oram syndrome
[3] People with Holt–Oram syndrome may also have abnormalities in the electrical system that coordinates contractions of the heart chambers.[1][2] People with Holt-Oram syndrome may have only congenital heart defects, only cardiac conduction disease, both or neither.[1] The TBX5 gene produces a protein that is critical for the proper development of the heart and upper limbs before birth.[2] If the symptoms aren't enough to diagnose, a person may undergo genetic testing for the mutations associated with the syndrome.Surgery, prosthetics and physical or occupational therapy can help people with bone abnormalities.