Heart failure & cardiomyopathies

Penetrance and Prognosis of MYH7 Variant-Associated Cardiomyopathies: Results From a Dutch Multicenter Cohort Study

JACC Heart FailPublished Multicentre cohort study

Authors' conclusion

MYH7 variants can cause cardiomyopathies and MCEs at a young age.

Study context

Population
Carriers of (likely) pathogenic MYH7 variants30.1% index patients
Participants
581 carriers
Exposure
Carriers of noncompaction cardiomyopathy (NCCM)-, dilated cardiomyopathy (DCM)- and hypertrophic cardiomyopathy (HCM)-associated MYH7 variants
Outcome
Penetrance and major cardiomyopathy-related events (MCEs)

Main finding

As reported in the abstract

Early penetrance and MCEs (age <12 years)

Early penetrance

Early MCEs

Observational data: associations, not effects.

Further findings

Prognostic factors for penetrance

Adjusted HR (95% CI)P value
Converter region variant carriers1.87 (1.15–3.04)P = 0.012
Age ≤1 year in NCCM- or DCM-associated variant carriers21.17 (4.81–93.20)P < 0.001
Family history of early MCEs2.45 (1.09–5.50)P = 0.030

Prognostic factors for MCE

Adjusted HR (95% CI)P value
Family history of early MCEs1.82 (1.15–2.87)P = 0.010
Age ≤5 years in NCCM- or DCM-associated variant carriers38.82 (5.16–291.88)P < 0.001

Original publication

Penetrance and Prognosis of MYH7 Variant-Associated Cardiomyopathies: Results From a Dutch Multicenter Cohort Study. JACC Heart Fail. Published 9 August 2023. doi:10.1016/j.jchf.2023.07.007

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