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    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