The Genetic Evaluation of Dilated Cardiomyopathy
- PMID: 37745678
- PMCID: PMC10512006
- DOI: 10.1016/j.shj.2023.100200
The Genetic Evaluation of Dilated Cardiomyopathy
Abstract
Dilated cardiomyopathy (DCM) is a common cause of heart failure and is the primary indication for heart transplantation. A genetic etiology can be found in 20-35% of patients with DCM, especially in those with a family history of cardiomyopathy or sudden cardiac death at an early age. With advancements in genome sequencing, the understanding of genotype-phenotype relationships in DCM has expanded with over 60 genes implicated in the disease. Subsequently, these findings have increased adoption of genetic testing in the management of DCM, which has allowed for improved risk stratification and identification of at risk family members. In this review, we discuss the genetic evaluation of DCM with a focus on practical genetic testing considerations, genotype-phenotype associations, and insights into upcoming personalized therapies.
Keywords: Arrhythmias; Cardiovascular genetics; Dilated cardiomyopathy; Genetic cardiomyopathy; Genetic testing; Heart failure.
© 2023 The Author(s).
Conflict of interest statement
Eric Adler has equity interest in Rocket Pharmaceuticals and is the Chief Scientific Officer at Lexeo Therapeutics. Quan Bui is a Consultant for Lexeo Therpaeutics. Jeffrey Ding, and Kimberly Hong report no conflicts of interest.
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References
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- Mestroni L., Maisch B., McKenna W., et al. Guidelines for the study of familial dilated cardiomyopathies. Eur Heart J. 1999;20(2):93–102. - PubMed
-
- Wilde A.A.M., Semsarian C., Márquez M.F., et al. European heart Rhythm association (EHRA)/Heart Rhythm Society (HRS)/Asia Pacific heart Rhythm Society (APHRS)/Latin American heart Rhythm Society (LAHRS) expert consensus statement on the state of genetic testing for cardiac diseases. Europace. 2022;24(8):1307–1367. doi: 10.1093/europace/euac030. - DOI - PMC - PubMed