Original Investigation

Truncating Variants and Human Cardiomyopathy

JAMA Cardiology 10.1001/jamacardio.2026.0401

April 08, 2026 at 11:00 AM EDT

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What is the contribution of truncating variants (tvs) to arrhythmogenic dilated cardiomyopathy (DCM)?In this cohort study including 4249 participants in UK Biobank and 179 in the RBM20 registry, tvs displayed overall low penetrance compared to a more common genetic cause of DCM (titin truncating variants) in large population biobanks. Patients with DCM and tvs had a milder lifetime disease course than those with known disease-causing variants in .These observations suggest that tvs be viewed clinically as low-effect contributors to arrhythmogenic DCM.

Corresponding Author: Victoria N. Parikh, MD, Stanford Center for Inherited Cardiovascular Disease and Department of Medicine, Stanford School of Medicine, 870 Quarry Rd, Palo Alto, CA 94305 (vparikh@stanford.edu).

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