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Dilated cardiomyopathy 1R(CMD1R)

MedGen UID:
462031
Concept ID:
C3150681
Disease or Syndrome
Synonyms: ACTC1-Related Dilated Cardiomyopathy; CMD1R
 
Gene (location): ACTC1 (15q14)
 
Monarch Initiative: MONDO:0013261
OMIM®: 613424

Definition

Any familial isolated dilated cardiomyopathy in which the cause of the disease is a mutation in the ACTC1 gene. [from MONDO]

Clinical features

From HPO
Primary dilated cardiomyopathy
MedGen UID:
2880
Concept ID:
C0007193
Disease or Syndrome
Familial dilated cardiomyopathy is a genetic form of heart disease. It occurs when heart (cardiac) muscle becomes thin and weakened in at least one chamber of the heart, causing the open area of the chamber to become enlarged (dilated). As a result, the heart is unable to pump blood as efficiently as usual. To compensate, the heart attempts to increase the amount of blood being pumped through the heart, leading to further thinning and weakening of the cardiac muscle. Over time, this condition results in heart failure.\n\nIt usually takes many years for symptoms of familial dilated cardiomyopathy to cause health problems. They typically begin in mid-adulthood, but can occur at any time from infancy to late adulthood. Signs and symptoms of familial dilated cardiomyopathy can include an irregular heartbeat (arrhythmia), shortness of breath (dyspnea), extreme tiredness (fatigue), fainting episodes (syncope), and swelling of the legs and feet. In some cases, the first sign of the disorder is sudden cardiac death. The severity of the condition varies among affected individuals, even in members of the same family.
Restrictive cardiomyopathy
MedGen UID:
40111
Concept ID:
C0007196
Disease or Syndrome
Restrictive left ventricular physiology is characterized by a pattern of ventricular filling in which increased stiffness of the myocardium causes ventricular pressure to rise precipitously with only small increases in volume, defined as restrictive ventricular physiology in the presence of normal or reduced diastolic volumes (of one or both ventricles), normal or reduced systolic volumes, and normal ventricular wall thickness.
Congestive heart failure
MedGen UID:
9169
Concept ID:
C0018802
Disease or Syndrome
The presence of an abnormality of cardiac function that is responsible for the failure of the heart to pump blood at a rate that is commensurate with the needs of the tissues or a state in which abnormally elevated filling pressures are required for the heart to do so. Heart failure is frequently related to a defect in myocardial contraction.
Ventricular arrhythmia
MedGen UID:
39082
Concept ID:
C0085612
Disease or Syndrome
A disorder characterized by an electrocardiographic finding of an atypical cardiac rhythm resulting from a pathologic process in the cardiac ventricles.
Left ventricular hypertrophy
MedGen UID:
57442
Concept ID:
C0149721
Disease or Syndrome
Enlargement or increased size of the heart left ventricle.
Left ventricular noncompaction
MedGen UID:
450531
Concept ID:
C1960469
Disease or Syndrome
Left ventricular noncompaction is a heart (cardiac) muscle disorder that occurs when the lower left chamber of the heart (left ventricle), which helps the heart pump blood, does not develop correctly. Instead of the muscle being smooth and firm, the cardiac muscle in the left ventricle is thick and appears spongy. The abnormal cardiac muscle is weak and has an impaired ability to pump blood because it either cannot completely contract or it cannot completely relax. For the heart to pump blood normally, cardiac muscle must contract and relax fully.\n\nSome individuals with left ventricular noncompaction experience no symptoms at all; others have heart problems that can include sudden cardiac death. Additional signs and symptoms include abnormal blood clots, irregular heart rhythm (arrhythmia), a sensation of fluttering or pounding in the chest (palpitations), extreme fatigue during exercise (exercise intolerance), shortness of breath (dyspnea), fainting (syncope), swelling of the legs (lymphedema), and trouble laying down flat. Some affected individuals have features of other heart defects. Left ventricular noncompaction can be diagnosed at any age, from birth to late adulthood. Approximately two-thirds of individuals with left ventricular noncompaction develop heart failure.
Myofiber disarray
MedGen UID:
1615672
Concept ID:
C3671015
Finding
A nonparallel arrangement of cardiac myocytes.
Interstitial cardiac fibrosis
MedGen UID:
1620902
Concept ID:
C4531194
Finding
A type of myocardial fibrosis characterized by excessive diffuse collagen accumulation concentrated in interstitial spaces.
Increased left ventricular end-diastolic volume
MedGen UID:
1660169
Concept ID:
C4748648
Finding
Abnormally high volume of blood in the left ventricle at the end of diastole (just before systole).
Cardiomyocyte hypertrophy
MedGen UID:
909741
Concept ID:
C4227331
Finding
An increase in cell size, enhanced protein synthesis, and heightened organization of the sarcomere within cardiac myocytes.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Recent clinical studies

Etiology

Scheiber D, Zweck E, Albermann S, Jelenik T, Spieker M, Bönner F, Horn P, Schultheiss HP, Aleshcheva G, Escher F, Boeken U, Akhyari P, Roden M, Kelm M, Szendroedi J, Westenfeld R
ESC Heart Fail 2021 Dec;8(6):4674-4684. Epub 2021 Sep 6 doi: 10.1002/ehf2.13607. PMID: 34490749Free PMC Article
Nagao K, Sowa N, Inoue K, Tokunaga M, Fukuchi K, Uchiyama K, Ito H, Hayashi F, Makita T, Inada T, Tanaka M, Kimura T, Ono K
Circ Heart Fail 2014 Mar 1;7(2):351-8. Epub 2013 Dec 23 doi: 10.1161/CIRCHEARTFAILURE.113.000939. PMID: 24365773
Das MK, Maskoun W, Shen C, Michael MA, Suradi H, Desai M, Subbarao R, Bhakta D
Heart Rhythm 2010 Jan;7(1):74-80. Epub 2009 Oct 2 doi: 10.1016/j.hrthm.2009.09.065. PMID: 20129288
Parthenakis FI, Patrianakos A, Prassopoulos V, Papadimitriou E, Nikitovic D, Karkavitsas NS, Vardas PE
Am J Cardiol 2003 May 15;91(10):1190-4. doi: 10.1016/s0002-9149(03)00265-0. PMID: 12745101

Diagnosis

Scheiber D, Zweck E, Albermann S, Jelenik T, Spieker M, Bönner F, Horn P, Schultheiss HP, Aleshcheva G, Escher F, Boeken U, Akhyari P, Roden M, Kelm M, Szendroedi J, Westenfeld R
ESC Heart Fail 2021 Dec;8(6):4674-4684. Epub 2021 Sep 6 doi: 10.1002/ehf2.13607. PMID: 34490749Free PMC Article
Müller I, Vogl T, Kühl U, Krannich A, Banks A, Trippel T, Noutsias M, Maisel AS, van Linthout S, Tschöpe C
ESC Heart Fail 2020 Aug;7(4):1442-1451. Epub 2020 May 28 doi: 10.1002/ehf2.12760. PMID: 32462801Free PMC Article
Das MK, Maskoun W, Shen C, Michael MA, Suradi H, Desai M, Subbarao R, Bhakta D
Heart Rhythm 2010 Jan;7(1):74-80. Epub 2009 Oct 2 doi: 10.1016/j.hrthm.2009.09.065. PMID: 20129288
Leyva F, Anker SD, Godsland IF, Teixeira M, Hellewell PG, Kox WJ, Poole-Wilson PA, Coats AJ
Eur Heart J 1998 Dec;19(12):1814-22. doi: 10.1053/euhj.1998.1188. PMID: 9886724

Therapy

Scheiber D, Zweck E, Albermann S, Jelenik T, Spieker M, Bönner F, Horn P, Schultheiss HP, Aleshcheva G, Escher F, Boeken U, Akhyari P, Roden M, Kelm M, Szendroedi J, Westenfeld R
ESC Heart Fail 2021 Dec;8(6):4674-4684. Epub 2021 Sep 6 doi: 10.1002/ehf2.13607. PMID: 34490749Free PMC Article
Silva-Palacios A, Zazueta C, Pedraza-Chaverri J
Pharmacol Res 2020 Jun;156:104758. Epub 2020 Mar 18 doi: 10.1016/j.phrs.2020.104758. PMID: 32200027
Willis MS, Parry TL, Brown DI, Mota RI, Huang W, Beak JY, Sola M, Zhou C, Hicks ST, Caughey MC, D'Agostino RB Jr, Jordan J, Hundley WG, Jensen BC
Circ Heart Fail 2019 Mar;12(3):e005234. doi: 10.1161/CIRCHEARTFAILURE.118.005234. PMID: 30871347Free PMC Article
Grieve DJ, Cassidy RS, Green BD
Br J Pharmacol 2009 Aug;157(8):1340-51. doi: 10.1111/j.1476-5381.2009.00376.x. PMID: 19681866Free PMC Article
Adamopoulos S, Parissis J, Kroupis C, Georgiadis M, Karatzas D, Karavolias G, Koniavitou K, Coats AJ, Kremastinos DT
Eur Heart J 2001 May;22(9):791-7. doi: 10.1053/euhj.2000.2285. PMID: 11350112

Prognosis

Müller I, Vogl T, Kühl U, Krannich A, Banks A, Trippel T, Noutsias M, Maisel AS, van Linthout S, Tschöpe C
ESC Heart Fail 2020 Aug;7(4):1442-1451. Epub 2020 May 28 doi: 10.1002/ehf2.12760. PMID: 32462801Free PMC Article
Nagao K, Sowa N, Inoue K, Tokunaga M, Fukuchi K, Uchiyama K, Ito H, Hayashi F, Makita T, Inada T, Tanaka M, Kimura T, Ono K
Circ Heart Fail 2014 Mar 1;7(2):351-8. Epub 2013 Dec 23 doi: 10.1161/CIRCHEARTFAILURE.113.000939. PMID: 24365773
Das MK, Maskoun W, Shen C, Michael MA, Suradi H, Desai M, Subbarao R, Bhakta D
Heart Rhythm 2010 Jan;7(1):74-80. Epub 2009 Oct 2 doi: 10.1016/j.hrthm.2009.09.065. PMID: 20129288
Leyva F, Anker SD, Godsland IF, Teixeira M, Hellewell PG, Kox WJ, Poole-Wilson PA, Coats AJ
Eur Heart J 1998 Dec;19(12):1814-22. doi: 10.1053/euhj.1998.1188. PMID: 9886724

Clinical prediction guides

Müller I, Vogl T, Kühl U, Krannich A, Banks A, Trippel T, Noutsias M, Maisel AS, van Linthout S, Tschöpe C
ESC Heart Fail 2020 Aug;7(4):1442-1451. Epub 2020 May 28 doi: 10.1002/ehf2.12760. PMID: 32462801Free PMC Article
Das MK, Maskoun W, Shen C, Michael MA, Suradi H, Desai M, Subbarao R, Bhakta D
Heart Rhythm 2010 Jan;7(1):74-80. Epub 2009 Oct 2 doi: 10.1016/j.hrthm.2009.09.065. PMID: 20129288
Liesmaa I, Kuoppala A, Shiota N, Kokkonen JO, Kostner K, Mäyränpää M, Kovanen PT, Lindstedt KA
Am J Physiol Heart Circ Physiol 2005 May;288(5):H2317-22. doi: 10.1152/ajpheart.00815.2004. PMID: 15840906
Leyva F, Anker SD, Godsland IF, Teixeira M, Hellewell PG, Kox WJ, Poole-Wilson PA, Coats AJ
Eur Heart J 1998 Dec;19(12):1814-22. doi: 10.1053/euhj.1998.1188. PMID: 9886724

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