ArticleJACC. Case reports2026
Dystrophin-Deficient Cardiomyopathy Due to a Novel Hemizygous DMD Indel Variant.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
backgroundVariants of dystrophin can lead to diverse phenotypes, ranging from isolated cardiomyopathy to aggressive Duchenne muscular dystrophy with progressive skeletal muscle weakness. CASE SUMMARY: We present a case of dystrophin-deficient cardiomyopathy in a 36-year-old man who presented in cardiogenic shock due to severe dilated cardiomyopathy requiring a bridge-to-transplant left ventricular assist device Genetic testing identified a DMD c.4857_4859del variant of uncertain significance. After heart transplantation, immunohistochemistry of the explanted heart revealed markedly reduced dystrophin staining, suggesting that the variant is disease-causing. Cascade testing identified multiple family members who were affected. DISCUSSION: This case report underscores the importance of synthesizing the clinical phenotype with functional testing to classify cardiomyopathy gene variants accurately. TAKE-HOME MESSAGE: Periodic review of variants of uncertain significance is critical to enable early diagnosis, treatment, and family screening.
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