Heart failure & cardiomyopathiesCohort study

A high proportion of children with severe cardiomyopathies show both myocarditis and genetic predispositions

Eur J Heart FailPublished

  • Retrospective cohort study

Authors' conclusion

In severe CMPY, genetic causes and myocarditis because of infection are common. About 50% of childhood cardiomyopathies are linked to pathogenic genetic variants.

Study context

Population
Children and adolescents with severe cardiomyopathy requiring HTx, mechanical circulatory support (MCS) or any in-hospital treatmentindex patients genotyped
Participants
106 children
Exposure
Myocarditis vs No myocarditis
  • Myocarditisn = 57
  • No myocarditisn = 27
Outcome
Genetic profile and prevalence of myocarditis

Main finding

As reported in the abstract

P/LP variant and myocarditis prevalence

Carried a (likely) pathogenic (P/LP) variant

54 (51%)

Myocarditis among 84 examined

57 (68%)

Chronic lymphocytic myocarditis

34 (40%)

Observational data: associations, not effects.

Further findings

P/LP variants by myocarditis status

Dilated cardiomyopathy

Dilated cardiomyopathy
87 (82%)

De novo P/LP variants suggested by parental genotyping

Cases with parental genotyping suggesting de novo P/LP variants
41 (39%)
  • de novo P/LP-variants (34%)

Original publication

A high proportion of children with severe cardiomyopathies show both myocarditis and genetic predispositions. Eur J Heart Fail. Published 3 July 2026. doi:10.1093/ejhf/xuag214

Summarised from the published abstract; every number is checked against it