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Updated: May 12, 2026

Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
New Insights Into Genetic Right Ventricular Cardiomyopathies
Marta Garcia-Montero1, Yehia Fanous2, Andrew D Krahn3
1Cardiovascular Genetics Centre and Electrophysiology Service, Montréal Heart Institute, Université de Montréal, Montréal, Québec, Canada.
Insights
Arrhythmogenic right ventricular cardiomyopathy (ARVC) research has advanced significantly with gene identification and deep phenotyping. Gene-specific insights are paving the way for precision medicine in ARVC diagnosis and treatment.
Area of Science:
- Cardiology
- Genetics
- Precision Medicine
Background:
- Arrhythmogenic right ventricular cardiomyopathy (ARVC) is an inherited heart disease affecting the right ventricle.
- Significant progress has been made in identifying ARVC-causing genes since 2000.
- Deep phenotyping has enhanced understanding of ARVC's diverse clinical presentations.
Purpose of the Study:
- To review the advancements in understanding arrhythmogenic right ventricular cardiomyopathy.
- To highlight the impact of genotype-phenotype correlations on ARVC research.
- To discuss the future of precision medicine in ARVC diagnosis and treatment.
Main Methods:
- Review of genetic and phenotypic data in arrhythmogenic right ventricular cardiomyopathy.
- Analysis of collaborative research efforts within the ARVC community.
- Integration of cardiogenetic information for disease management.
Main Results:
- Identification of numerous ARVC-associated genes has correlated with specific phenotypes.
- Explosion of genotype and phenotype data has greatly advanced disease understanding.
- Focus on gene-specific phenotypes aids in risk assessment and mitigation strategies.
Conclusions:
- Gene-specific understanding is crucial for advancing precision medicine in ARVC.
- Current knowledge supports improved diagnosis, natural history prediction, and targeted interventions.
- The ARVC community is entering a new era focused on transforming patient outcomes through collaborative research and innovative therapies.
Abstract:
Inherited right ventricular disease in the form of arrhythmogenic right ventricular cardiomyopathy (ARVC) was first described 40 years ago. The ARVC-causing genes have progressively been identified from the year 2000, accompanied by a robust journey of deep phenotyping. The explosion of genotype and phenotype data coupled with a collaborative spirit in the ARVC community has led to an immense advance in our understanding of the various faces of this disease, with a recent focus on gene-specific phenotypes and risk assessment and mitigation. The modern cardiogenetic team has a wealth of information that informs the biology of the disease, its phenotypic expression, and the processes of care to detect the presence and progression of disease. Gene-specific considerations will raise the bar in precision medicine applied to diagnosis, natural history, and potentially curative interventions with targeted small molecules and gene therapy. This is an exciting time for the ARVC collaborative community to usher in a new era in changing the course of ARVC for patients and their families.
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