Heart failure & cardiomyopathies

Sex Differences in Dilated Cardiomyopathy: Evidence Gaps and Future Directions

J Am Coll CardiolPublished Review with systematic review and meta-analysis

Authors' conclusion

These findings highlight the influence of sex and genotype on clinical outcomes.

Study context

Population
Patients with dilated cardiomyopathy
Comparison
Male vs female dilated cardiomyopathy (DCM) patients, by genotype
Outcome
Arrhythmic events and HF by sex and genotype

Pooled result

As reported in the abstract

  • Men: PLN, DSP and LMNA variant carriers had higher arrhythmic event rates than TTNtv and BAG3 carriers
  • Women: RBM20, DSP and PLN variants had the highest arrhythmic risk, TTNtv carriers the lowest
  • PLN and LMNA variants had the highest HF risk in both sexes
  • BAG3, RBM20 and TTN variants had lower HF rates in female than male carriers

Original publication

Sex Differences in Dilated Cardiomyopathy: Evidence Gaps and Future Directions. J Am Coll Cardiol. Published 26 November 2025. doi:10.1016/j.jacc.2025.09.1603

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