Heart failure & cardiomyopathiesCohort study

Genetic determinants of severity and recurrence in arrhythmia-induced cardiomyopathy

Eur J Heart FailPublished

  • Retrospective cohort study
  • multicentre

Authors' conclusion

Arrhythmia-induced cardiomyopathy patients exhibit a substantial prevalence of deleterious variants in cardiomyopathy-associated genes, particularly TTN truncating variants. Genotype-positive individuals represent a high-risk subgroup with greater familial burden, more severe clinical presentation and increased recurrence risk.

Study context

Population
Patients with arrhythmia-induced cardiomyopathy (AF) undergoing genetic testing of cardiomyopathy-associated genes
Participants
100 patients
Exposure
Genotype-positive vs genotype-negative
  • Genotype-positiven = 16
Outcome
Prevalence and clinical impact of deleterious variants in cardiomyopathy-associated genes

Main finding

As reported in the abstract

Prevalence of genotype-positive status

Genotype-positive

16%

16 of 16

TTN truncating variants share of variants
75%

Observational data: associations, not effects.

Further findings

Family history of cardiomyopathy

P = 0.005

Family history of sudden death

P = 0.034

EF

P = 0.034

Cardiogenic shock

P = 0.012

Recurrence

P = 0.028

Original publication

Genetic determinants of severity and recurrence in arrhythmia-induced cardiomyopathy. Eur J Heart Fail. Published 25 May 2026. doi:10.1093/ejhf/xuag181

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