Nonischemic Cardiomyopathy in Adult-Onset PPA2-Deficient Mitochondrial Disease
Emilie Théberge1, Jillianne Code2, John K Khoo3
1Faculty of Medicine, Department of Medical Genetics, University of British Columbia, Vancouver, Canada.
Genetic testing revealed PPA2 gene mutations caused nonischemic cardiomyopathy (NICM) in a 48-year-old patient, the oldest documented case of PPA2 deficiency. Early genetic analysis is crucial for diagnosing NICM and avoiding the "idiopathic" label.
Area of Science:
- Cardiology
- Genetics
- Mitochondrial Diseases
Background:
- Nonischemic cardiomyopathy (NICM) can stem from single-gene mutations, such as those affecting the inorganic pyrophosphatase 2 (PPA2) gene.
- PPA2 gene mutations are associated with multisystem effects and are typically linked to mitochondrial disease with early mortality.
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