ABSTRACT

The 1992 ‘‘Back to Sleep’’ campaign identified modifiable environmental risk

factors for sudden infant death syndrome (SIDS) and led to a decrease in SIDS

incidence from 1.2 per 1000 live births (1) to 0.529 per 1000 live births in 2003 (2).

Despite this decline, African-American infants have a 2.7-fold higher SIDS rate

than Caucasian infants (2). This ethnic disparity, coupled with SIDS deaths despite

improved compliance with modifiable risk factors, led investigators to consider a

genetic basis for SIDS. Thus far, all genetic studies have been based on clinical,

neuropathological, and epidemiological observations in SIDS victims, with subse-

quent identification and study of candidate genes. This chapter focuses exclusively

on those genes that are pertinent to cardiorespiratory or autonomic regulation.