57 Matching Annotations
  1. Last 7 days
    1. A86

      Case#: Male, 47

      DiseaseAssertion: hypertrophic cardiomyopathy

      FamilyInfo: NR

      ParentalTesting: NR

      CasePresentingHPOs: HP:0025169, HP:0034307, HP:0001712,

      CaseHPOFreeText: Severe alterations in inter ventricular septum thickness and left ventricular posterior wall thickness

      CaseNotHPOs: NR

      CaseNotHPOFreeText: NR

      CasePreviousTesting: NR

      Genotyping Method: Sanger sequencing

      FunctionalAnalysis: NA

      Variant: NM_001276345.2:c.423G>A

      ClinVar: NR

      CAID: CA422532259

      gnomAD: NR

      AdditionalInfo: IVST, average of 19.2 mm and LVPWT; average of 11.5 mm

    1. proband (IV.3)

      Case#: a 2‐year‐old white girl who was found to have RCM following an evaluation precipitated by the sudden death of her older brother.

      DiseaseAssertion: Restrictive cardiomyopathy

      FamilyInfo: 4‐year‐old brother presented with a sudden cardiac arrest while running on a soccer field and could not be resuscitated. Her father had restrictive physiology and arrhythmias. The TNNT2 variant was found in the father and two children

      ParentalTesting: Father carried the variant. For both paternal grandparents tested negative and the proband inherited the variant from her father.

      CasePresentingHPOs: HP:0001723, HP:0001639, HP:0031295, HP:0030718, HP:0001695

      CaseHPOFreeText: "Her ECG demonstrated criteria for right and left atrial enlargement with marked repolarization abnormality. Echocardiogram revealed mild right atrial and severe left atrial enlargement (left atrial volume, 61.5 cc/m2; normal, 16–28), with mildly increased left ventricular mass and otherwise normal ventricular dimensions. Right and left ventricular systolic function was preserved. "

      CaseNotHPOs: not reported

      CaseNotHPOFreeText: Ventricular dimensions and biventricular systolic function were reported as normal.

      CasePreviousTesting: Cardiomyopathy‐based panel testing (Familion; Transgenomic, Inc., New Haven, CT) was conducted on the proband, demonstrating a single, heterozygous, variant TNNT2‐R94C (c.280C>T).

      Genotyping Method: Clinical genetic testing was performed on family members using the same HCM panel test.

      FunctionalAnalysis: Biophysical experiments using recombinant human TNNT2‐R94C demonstrated impaired cardiac regulation at the molecular level attributed to reduced calcium‐dependent blocking of myosin's interaction with the thin filament.

      Variant: c.835C>T, p.Gln279Ter

      ClinVar: 165549

      CAID: CA004288

      gnomAD: not reported

      AdditionalInfo: not reported

    1. half-brother (B.III.6) carries the same pathogenic TNNT2-variant and was diagnosed with mild LV dilatation in early childhood.

      Case#: Male half-brother with mild left ventricular dilation from early childhood and mild left ventricular impairment; latest reported ejection fraction was 51%.

      DiseaseAssertion: DCM

      FamilyInfo: several of the siblings DCM, two died at age of 12, father had DCM, and heart transplant for an individual who later died

      ParentalTesting: father was an obligate carrier

      CasePresentingHPOs: HP:0001644

      CaseHPOFreeText: Mild left ventricular dilation and mildly increased LV volumes

      CaseNotHPOs: not reported

      CaseNotHPOFreeText: not reported

      CasePreviousTesting: panel-based genetic test was conducted in the index patient.

      Genotyping Method: panel-based genetic test was conducted in the index patient. sanger confirmation

      FunctionalAnalysis: not reported

      Variant: c.659_661del p.(Lys220del)

      ClinVar: 43659

      CAID: CA006429

      gnomAD: not reported

      AdditionalInfo: not reported

    2. The patient underwent heart transplantation at the age of 26 months.

      Case#: A 2-year-old girl with dilated cardiomyopathy (DCM) and left ventricular noncompaction, who received a heart transplant at 26 months.

      DiseaseAssertion: DCM with left ventricular noncompaction

      FamilyInfo: Family history revealed that three of the father’s (A.II.2) sisters (A.II.4-A.II.6) died in infancy due to cardiac failure.

      ParentalTesting: The father and paternal grandmother tested positive for the same TNNT2 variant

      CasePresentingHPOs: HP:0001644, HP:0030682, HP:0001635

      CaseHPOFreeText: The heart failure signs began at 2 months and got worse. Then got a heart transplant at 26 months.

      CaseNotHPOs: not reported

      CaseNotHPOFreeText: nothing found

      CasePreviousTesting: a genetic panel test, including the genes LDB3, LMNA, MYH7, MYBPC3, and TNNT2, was performed.

      Genotyping Method: Variants were confirmed in first-degree family members by Sanger sequencing.

      FunctionalAnalysis: not reported

      Variant: c.316G>A (p.Glu106Lys)

      ClinVar: 224775

      CAID: CA088557

      gnomAD: not reported

      AdditionalInfo: not reported

    1. case of a 19-year-old boy with coarctation of the aorta who complained of mild exertional dyspnea.

      Case#: 19-year-old boy with coarctation of the aorta who complained of mild exertional dyspnea.

      DiseaseAssertion: dilated cardiomyopathy (DCMP). LV systolic dysfunction.

      FamilyInfo: The family history was positive to sudden death (his cousin died, aged 3 months) and to DCMP and heart transplant (HT): a maternal aunt and her son who then died at 42 and 24 years old. Cascade family screening revealed a TNNT2 variant in the mother (II.1) and his cousin (IV.3).

      ParentalTesting: The 19 year old brother's was tested and carried the TNNT2 variant. She was also affected by DCM. The father’s testing status was not reported.

      CasePresentingHPOs: HP:0001680, HP:0002875, HP:0025169, HP:4000141

      CaseHPOFreeText: surgically repaired coarctation of the aorta who complained of mild exertional dyspnea repaired at birth (NYHA class II–III). Cardiac MRI showed a moderately dilated, hypokinetic LV with an ejection fraction of 45%; echocardiography showed an ejection fraction around 42%.

      CaseNotHPOs: not reported

      CaseNotHPOFreeText: Nothing was found that was correlated.

      CasePreviousTesting: genetic investigations through next generation sequencing (NGS) with a panel of 325 genes, known to be associated with cardiomyopathies

      Genotyping Method: targeted next generation sequencing

      FunctionalAnalysis: not reported

      Variant: c.518G>A (p. Arg173Gln)

      ClinVar: 43649

      CAID: CA004727

      gnomAD: not reported

      AdditionalInfo: not reported

    1. The proband

      Case#: Female, 6, non-Hispanic white

      DiseaseAssertion: Dilated Cardiomyopathy

      FamilyInfo: Father and Paternal uncle diagnosed with DCM at age 34.

      ParentalTesting: Her father underwent cardiac screening based on family history several years later at age 34

      CasePresentingHPOs: HP:0001640

      CaseHPOFreeText: NA

      CaseNotHPOs: NA

      CaseNotHPOFreeText: Acute viral illness and gastroenteritis

      CasePreviousTesting: NR

      Genotyping Method: Sanger Sequencing

      FunctionalAnalysis: NR

      Variant: NM_001276345.2:c.149A>G

      ClinVar: 2005620

      CAID: CA344207232

      gnomAD: 1:201337304 T / C

      AdditionalInfo: NA

    1. the male index

      Case#: Male, 65

      DiseaseAssertion: Idiopathic dilated cardiomyopathy

      FamilyInfo:None of his five siblings were affected

      ParentalTesting: NR

      CasePresentingHPOs: HP:0005110

      CaseHPOFreeText: Slow progression to severe heart failure

      CaseNotHPOs: NR

      CaseNotHPOFreeText: NR

      CasePreviousTesting: NR

      Genotyping Method: Bidirectional dna sequencing

      FunctionalAnalysis: NR

      Variant: NM_001276345.2:c.869A>G

      ClinVar: 4881578

      CAID: CA344201883

      gnomAD: NA

      AdditionalInfo: HTX. The index patient carried a known TNNT2 K247R mutation as well as two novel intronic variants in MYH7 (IVS39+7C>A) and MYBPC3 (IVS25+13T>A).

    2. Family M25

      Case5: 65 year-old male

      DiseaseAssertion: carried a known TNNT2 K247R mutation as well as two novel intronic variants in MYH7 (IVS39+7C>A) and MYBPC3 (IVS25+13T>A)

      FamilyInfo: None of his five siblings were affected, judged by their clinical presentation, nor was there any history of cardiac disease or sudden death in the family.

      ParentalTesting:NR

      CasePresentingHPOs:HP:0003677, HP:0012828, HP:0001635, HP:0005110, HP:0034307, HP:0012666,

      CaseHPOFreeText: had late-onset at age 47 IDC, with a slow progression to severe heart failure and subsequently HTX. He also suffered from atrial fibrillation in the later stages of his disease. Had left ventricular end diastolic diameter (in mm and indexed by body surface area (cm/m2)) with a value of 68mm and 3.4cm/m2. As well with 30% of left ventricular ejection fraction. His ECG is normal, clinical status is heart transplantation from the age of 56. CAG is normal.

      CaseNotHPOs:NR

      CaseNotHPOFreeText:NR

      CasePreviousTesting:NR

      Genotyping Method:Genetically screened, also using GenBank with PCR by amplifying the coding region

      FunctionalAnalysis: The variant could thus possibly result in the synthesis of a limited amount of the slightly modified β-myosin. The functional significance of this is not easily established, but it suggests that the variant may be a disease modifier.

      Variant:NM_001276345.2:c.869A>G

      ClinVar:4881578

      CAID:CA344201883

      gnomAD:NR

      AdditionalInfo: MYH7 (IVS39+7C>A) increased the likelihood of a cryptic donor splice site to 70%, possibly resulting in the synthesis of mRNA coding for a β-myosin with a C terminus of –VGLE instead of –GLNEE. As the variant is located in the last exon, the faulty spliced mRNA is probably not degraded but results in the synthesis of a modified protein.

    1. The proband

      Case#: Female, 20, non-Hispanic white

      DiseaseAssertion: Peripartum cardiomyopathy

      FamilyInfo: NR

      ParentalTesting: NR

      CasePresentingHPOs: HP:0034807, HP:0001640

      CaseHPOFreeText: NA

      CaseNotHPOs: NA

      CaseNotHPOFreeText: NA

      CasePreviousTesting: NR

      Genotyping Method: Sanger sequencing

      FunctionalAnalysis: demonstrated decreased calcium sensitivity, which indicated that this mutation was likely to be disease causing

      Variant: NM_001276345.2:c.505C>G

      ClinVar: 2953222

      CAID: CA344204620

      gnomAD: NR

      AdditionalInfo: PPCM was diagnosed one week postpartum.

    1. a 20-year-old, female, adopted Indian patient with over 662 Mb regions of homozy-gosity who presented with intellectual disability, ataxia, schizophrenia, retinal dystrophy, moder-ate-to-severe progressive sensorineural hearing loss (SNHL), congenital hypothyroidism, cleft mi-tral valve with mild mitral valve regurgitation, and dysmorphic features.

      Case#: a 20-year-old, female, adopted Indian patient with over 662 Mb regions of homozy-gosity who presented with intellectual disability, ataxia, schizophrenia, retinal dystrophy, moder-ate-to-severe progressive sensorineural hearing loss (SNHL), congenital hypothyroidism, cleft mi-tral valve with mild mitral valve regurgitation, and dysmorphic features.

      DiseaseAssertion: a cleft mitral valve with mild regurgitation

      FamilyInfo: adopted

      ParentalTesting: not reported

      CasePresentingHPOs: HP:0001249, HP:0001251, HP:0100753, HP:0000556, HP:0000407, HP:0000851, HP:0001633, HP:0001653

      CaseHPOFreeText: cleft mitral valve and dysmorphic features

      CaseNotHPOs: HP:0001638

      CaseNotHPOFreeText: echocardiograms at 18 were normal

      CasePreviousTesting: genetic testing, including targeted panel analysis, exome sequencing on a clinical basis, and a research-based review of her raw clinical exome data, led to identifying at least three causal gene disorders to explain distinct aspects of her complex phenotype.

      Genotyping Method: Genome-wide single-nucleotide polymorphism (SNP) microarray analysis was clinically performed, with no pathogenic deletions or duplications detected.

      FunctionalAnalysis: not reported

      Variant: NM_001001430.2:c.68-1592

      ClinVar: not reported

      CAID: CA032911

      gnomAD: total allele frequency: 0.00004522

      AdditionalInfo: n/r

    1. a 50-year-old man, was diagnosed with HCM at the age of 41 years.

      Case#: A 50-year-old man diagnosed with HCM at age 41, with asymmetric septal hypertrophy and exertional chest discomfort and pain

      DiseaseAssertion: Hypertrophic cardiomyopathy

      FamilyInfo: His third elder sister, niece and daughter were also clinically affected by HCM. The proband's mother and eldest sister had suffered from sudden cardiac death. The proband's father, second elder sister (HCM1 in Fig. 1A), nephew (HCM5 in Fig. 1A) and son (HCM7 in Fig. 1A) were 87, 65, 35, and 14 years old, respectively, and had normal echocardiographic measurements.

      ParentalTesting: The mother had died suddenly; the 87-year-old father had normal echocardiographic measurements. There was no testing reported.

      CasePresentingHPOs: HP:0001639, HP:0005144, HP:0100749, HP:0011712

      CaseHPOFreeText: chest distress and chest pain during exercise for 9 years. He presented with an asymmetric hypertrophic interventricular septum and a maximum interventricular septum thickness of 18.04 mm

      CaseNotHPOs: not reported

      CaseNotHPOFreeText: no findings found in the proband

      CasePreviousTesting: nothing reported in the article

      Genotyping Method: hole exome sequencing (WES) Exons were captured using Sure Select Human All Exon V5 kit. Sequenced by Illumina HiSeq 4000 sequencer.

      FunctionalAnalysis: not reported

      Variant: rs796925245 (g.1:201359630G>A, c.835C>T, p.Gln279Ter) (c.835C>T, p.Gln279Ter)

      ClinVar: 1175037

      CAID: CA088451

      gnomAD: not reported

      AdditionalInfo: n/r

    1. A 65-year-old woman with severe hypertrophic cardiomyopathy underwent gene panel testing that identified a single variant, TNNT2 E251D

      Case#:A 65-year-old woman with severe hypertrophic cardiomyopathy

      DiseaseAssertion:Severe hypertrophic cardiomyopathy

      FamilyInfo:no information reported

      ParentalTesting:no parental testing reported

      CasePresentingHPOs:HP:0001639

      CaseHPOFreeText: gene panel testing that identified a single variant

      CaseNotHPOs: not found

      CaseNotHPOFreeText: not found

      CasePreviousTesting: gene panel testing that identified a single variant

      Genotyping Method:clinical gene panel testing

      FunctionalAnalysis: rapid insertion of TNNT2 gene variants into induced pluripotent stem cell-differentiated cardiomyocytes (iPSC-CMs) for functional annotation of the variants for (E251D)(Figure B)

      Variant:c.753G>T (p.Glu251Asp)

      ClinVar:not found

      CAID:CA090003

      gnomAD:not found

      AdditionalInfo:not reported

    1. A 41-year-old male proband diagnosed with DCM underwent comprehensive clinical evaluation.

      Case#:male, 41, DCM

      DiseaseAssertion:dilated cardiomyopathy

      FamilyInfo:The proband reported that his mother died suddenly at approximately 35 years of age (specific cause unknown). Other family members were healthy with no history of cardiac disease. Written informed consent was obtained from all participants.

      ParentalTesting:no parental testing reported. Sanger sequencing of available family members (daughter, half-brother, maternal uncle and maternal aunt) confirmed that none carried the variant, supporting its de novo origin

      CasePresentingHPOs:HP:0002875, HP:0001644, HP:4000141, HP:6000313

      CaseHPOFreeText: ECG showed sinus bradycardia, occasional atrial premature beats, delayed atrioventricular conduction, left atrial enlargement, left ventricular high voltage, incomplete right bundle branch block, and ST-T changes (Figure 1C). CMR revealed late gadolinium enhancement (LGE) in the basal to mid-septal and anterolateral segments of the left ventricle (Figure 1D).

      CaseNotHPOs:HP:0000822, HP:0003077

      CaseNotHPOFreeText:He denied a history of hyperlipidemia, hypertension, or substance abuse.

      CasePreviousTesting:No reports of previous testing

      Genotyping Method:whole-exome sequencing and Sanger sequencing

      FunctionalAnalysis:not reported

      Variant:c.547C>T p.Arg183Trp

      ClinVar:43628

      CAID:CA004294

      gnomAD:Overall allele frequency: 0.000001239

      AdditionalInfo:not reported

    1. a 40-year-old woman with a history of hypokinetic-dilative cardiomyopathy and heterozygous for TNNT2 gene mutation

      Case#:a 40-year-old woman with a history of hypokinetic-dilative cardiomyopathy and heterozygous for TNNT2 gene mutation

      DiseaseAssertion:hypokinetic-dilative cardiomyopathy

      FamilyInfo: her family appreciated the clear communication, and as her condition improved without further complications, she expressed gratitude for the care provided.

      ParentalTesting:n/r

      CasePresentingHPOs:HP:0001644, HP:0002094, HP:0002094, HP:0001695,

      CaseHPOFreeText:Progressive dyspnea and fatigue began in January 2017. In February 2018, the patient had cardiac arrest due to ventricular fibrillation at 26 weeks’ gestation, followed by emergency caesarean section. She carried a heterozygous TNNT2 variant (c.547C>T, p.Arg183Trp)

      CaseNotHPOs: HP:0031972, HP:0031972

      CaseNotHPOFreeText:Coronary angiography showed no significant stenosis.

      CasePreviousTesting:Testing method and scope

      GenotypingMethod:n/a

      FunctionalAnalysis:not reported

      Variant: c.547C>T p.Arg183Trp)

      Clinvar:not known

      CAID:CA391630526

      gnomAD:n/r

      AdditionalInfo:n/r

    1. a 50‐year‐old male who was clinically diagnosed with isolated CS and prescribed with prednisolone without much effect, and subsequent genetic analysis revealed pathogenic variants in LMNA and TNNT2, representative genes for cardiomyopathy.

      Case#: a 50‐year‐old male who was clinically diagnosed with isolated CS and prescribed with prednisolone without much effect, and subsequent genetic analysis revealed pathogenic variants in LMNA and TNNT2, representative genes for cardiomyopathy.

      DiseaseAssertion:Dilated cardiomyopathy

      FamilyInfo: not reported

      ParentalTesting: He had no family history of heart disease or sudden death

      CasePresentingHPOs:HP:0002094,HP:0005110,HP:0025169, HP:0005110

      CaseHPOFreeText:Progressive cardiac conduction disease: first-degree AV block with left axis deviation on an earlier ECG progressed to high-grade and then complete AV block. At age 50, the patient also had mild dyspnoea on exertion (New York Class ll) and atrial fibrillation. The authors later stated that it was dilated cardiomyopathy.

      CaseNotHPOs:HP:0033608,HP:0002716

      CaseNotHPOFreeText:CT showed no enlarged lymph nodes, pulmonary nodules, or other organ abnormalities

      CasePreviousTesting: whole‐exome sequencing analysis to evaluate the risk of inherited cardiomyopathies and identified two missense variants in TNNT2 (chr1:201364335(hg38), NM_001001430.3, c.422G>A, p.Arg141Gln) and LMNA (chr1:156136096(hg38), NM_170707.4, c.1132A>C, p.Lys378Gln) (Figure 3). Sanger sequencing analysis identified a heterozygous single‐base substitution (c.1132A>C) in the LMNA gene and c.422G>A in the TNNT2 gene (red arrows).

      Genotyping Method:Whole-exome sequencing (WES) identified the variants; Sanger sequencing of the TNNT2 and LMNA variants is shown in Figure 3.

      FunctionalAnalysis:Not reported

      Variant:TNNT2: NM_001001430.3:c.422G>A (p.Arg141Gln),LMNA: NM_170707.4:c.1132A>C (p.Lys378Gln)

      ClinVar:43637

      CAID:CA004540

      gnomAD:not reported

      AdditionalInfo:not reported

    1. A 70‐year‐old woman, previously healthy with a left ventricular ejection fraction of 50%–55% at age 69, presented with DCM of unknown cause and a 4‐month history progressive heart failure requiring cardiac transplantation.

      Case#:A 70‐year‐old woman, previously healthy with a left ventricular ejection fraction presented with DCM

      DiseaseAssertion:dilated cardiomyopathy and a 4-month history of progressive heart failure

      FamilyInfo:"Family history was negative for IDC or heart failure (Figure 3), although an uncle (II‐3) reportedly had an enlarged heart, and three other relatives (II‐1, II‐2, and III‐4) had cardiac related deaths confirmed by death certificate. The proband’s father (II‐1) died of myocardial failure and pulmonary edema; her mother (II‐2) died of pulmonary embolism; and her sister (III‐4) died suddenly of coronary artery disease in her 60s. Her daughter, the proband’s niece (IV‐3), had a history of palpitations and lower extremity swelling, intermittent numbness, and blanching of the fingers at age 49. Her echocardiogram was normal. Her ECG showed nonspecific ST‐T wave changes and left anterior hemiblock."

      ParentalTesting:no parental testing reported because both parents were deceased. The two offsprings that were reported were tested and carried both variants.

      CasePresentingHPOs:HP:0001644, HP:0001635, HP:0002875, HP:0012378

      CaseHPOFreeText:symptoms of progressive dyspnea on exertion and fatigue that began 2–3 months prior to her presentation. Also, she had an unrelenting progression of symptoms and was hospitalized with advanced NYHA Class IV heart failure 6 weeks later. Lastly, she received a heart transplant.

      CaseNotHPOs:not reported

      CaseNotHPOFreeText:no myocarditis or infiltrative process and no histological evidence of hemochromatosis,

      CasePreviousTesting:Oligonucleotide hybridization‐based DNA sequencing was conducted in the proband for a panel of 19 DCM genes ( Table 1 )

      Genotyping Method:Oligonucleotide hybridization‐based DNA sequencing and genomic DNA was extracted from whole blood and was sequenced in our laboratory in both directions to detect and/or confirm nucleotide variants in TNNT2 in the proband and the proband’s relatives using an Applied Biosystems 3130XL capillary sequencer

      FunctionalAnalysis:R139H (Figure 4): Functional studies in porcine cardiac skinned fibers reconstituted with the mutant R139H troponin T protein showed decreased Ca2+ sensitivity at pH 7, characteristic of DCM.

      Variant:416G>A (R139H) in exon 10 and 690–6G>A in intron 13.

      ClinVar:not found

      CAID:CA004513

      gnomAD:not found

      AdditionalInfo:not reported

  2. Nov 2026
    1. The proband

      Case#: Male, 17

      DiseaseAssertion: hypertrophic cardiomyopathy

      FamilyInfo: All family members were asymptomatic, with normal TTE and ECG, with no evidence of VH.

      ParentalTesting:

      CasePresentingHPOs: HP:0001639, HP:0001279, HP:0001670, HP:0032092, HP:0031295

      CaseHPOFreeText: diastolic type II dysfunction,

      CaseNotHPOs: NR

      CaseNotHPOFreeText: NR

      CasePreviousTesting: genetic analysis of the proband was performed through direct sequencing of the three sarcomere genes: MYH7, MYBPC3 and TNNT2

      Genotyping Method: Sanger Sequencing

      FunctionalAnalysis: NR

      Variant: NR

      ClinVar:NR

      CAID: NR

      gnomAD: NR

      AdditionalInfo: underwent clinical and cardiovascular examination, including a 12-lead electrocardiogram (ECG), transthoracic echocardiography (TTE) and 24-hour Holter monitoring. TNNT2 sequenced, but not reported.

    1. The index patient

      Case#: Female, 4 months, Swedish

      DiseaseAssertion: dilated cardiomyopathy

      FamilyInfo: Strong family history of DCM and faily history of SCD due to DCM. Maternal grandfather had enlarged left ventricle.

      ParentalTesting:

      CasePresentingHPOs: HP:0005162, HP:0031295, HP:0001653,

      CaseHPOFreeText: enlarged left ventricle,

      CaseNotHPOs:HP:0011947

      CaseNotHPOFreeText: circulatory collapse

      CasePreviousTesting: NR

      Genotyping Method: Sanger sequencing

      FunctionalAnalysis: NR

      Variant: NM_001276345.2:c.548G>A

      ClinVar:43649

      CAID: CA004727

      gnomAD:NR

      AdditionalInfo: During cardiac catheterization, cardiac resuscitation due to circulatory collapse was needed.

    1. The baby was born

      Case#: Female, 6 months

      DiseaseAssertion: Dilated cardiomyopathy

      FamilyInfo: Mother was age 40 at time of birth, which is a high-risk factor for birth defects

      ParentalTesting:

      CasePresentingHPOs: HP:0031664, HP:0010438, HP:0005162

      CaseHPOFreeText: blood pressure of the four limbs was "92/44 mmHg at the right upper limb, 96/58 mmHg at the left upper limb, 101/60 mmHg at the right lower limb, and 103/54 mmHg at the left lower limb." Enlarged heart boundaries. Shifted apex.

      CaseNotHPOs: HP:0000975

      CaseNotHPOFreeText: decreased milk consumption

      CasePreviousTesting: NR

      Genotyping Method: genomic sequencing.

      FunctionalAnalysis: NR

      Variant: NM_001276345.2:c.548G>A

      ClinVar:43649

      CAID:CA004727

      gnomAD: NR

      AdditionalInfo:

    1. the proband

      Case#: Japanese female

      DiseaseAssertion: Mild cardiac hypertrophy and asymmetric septal hypertrophy with myocardial hypertrophy increasing.

      FamilyInfo: mother and grandmother showed phenotype. Probands mother has the Arg92Trp mutation of TNNT2.

      ParentalTesting:not reported

      CasePresentingHPOs: HP:0001670

      CaseHPOFreeText: not reported

      CaseNotHPOs:not reported

      CaseNotHPOFreeText:not reported

      CasePreviousTesting: DNA analysis

      Genotyping Method: Patients with familial HCM

      FunctionalAnalysis:not reported

      Variant:NM_001276345.2:c.107A>T

      ClinVar:not reported

      CAID:CA344207376

      gnomAD:not reported

      AdditionalInfo: pedigree and phenotype associated with Family C.

  3. Oct 2026