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Updated: May 7, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Genetics of hypertrophic cardiomyopathy in Norway
1Department of Medical Genetics, Oslo University Hospital Ullevaal, Oslo, Norway.
Insights
Genetic testing for hypertrophic cardiomyopathy (HCM) identified mutations in 29.2% of adult probands and 15.4% of infants. Over 40% of identified mutations were novel, advancing HCM genetic diagnostics.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Diagnostics
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary genetic heart muscle disease.
- Genetic testing is crucial for diagnosing HCM and identifying at-risk relatives.
- The availability of genetic testing in Norway since 2003 enabled comprehensive analysis.
Purpose of the Study:
- To report the outcomes of genetic testing for hypertrophic cardiomyopathy (HCM) in Norwegian probands.
- To characterize the spectrum of mutations identified in HCM patients.
- To evaluate the frequency of single and double mutations in HCM.
Main Methods:
- Analysis of translated exons in key HCM-associated genes (MYBPC3, MYH7, TNNI3, TNNT2, MYL2, MYL3).
- Two proband groups were studied: 696 patients >1 year and 26 infants <1 year.
- Mutation detection rates and characteristics were assessed.
Main Results:
- A mutation was identified in 29.2% of adult probands (Group 1) and 15.4% of infants (Group 2).
- 5.9% of mutation-positive adult probands carried two distinct mutations.
- 120 different mutations were found, with 51 (42.5%) being novel.
Conclusions:
- Genetic testing reveals a significant mutation detection rate in hypertrophic cardiomyopathy (HCM) probands.
- The identification of numerous novel mutations underscores the genetic heterogeneity of HCM.
- These findings contribute to improved genetic diagnostics and understanding of HCM.
Abstract:
Genetic testing for hypertrophic cardiomyopathy (HCM) became available in Norway in 2003. Here, we describe the results of this testing in probands with HCM referred until the end of 2012. The translated exons of MYBPC3, MYH7, TNNI3, TNNT2, MYL2 and MYL3 were analyzed in two groups of probands. In Group 1, comprising 696 probands above 1 year of age, a mutation was found in 203 patients (29.2%). Of those, 5.9% were carriers of two mutations. Mean age in double mutation carriers, single mutation carriers and mutation negative probands was 44 years (± 19 years), 50 years (± 5 years) and 55 years (± 6 years), respectively. In Group 2, comprising 26 infants below the age of 1, a mutation was found in 15.4%. A total of 120 different mutations were found of which 51 (42.5%) were novel.
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