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