Emerging Targeted Therapies for Inherited Cardiomyopathies and Arrhythmias

Tammy Ryan1, Jason D Roberts2

  • 1McMaster University, Hamilton, Ontario, Canada; Department of Medicine, Division of Cardiology, DBCVSRI, Hamilton General Hospital, Room C3-121, 237 Barton Street East, Hamilton, Ontario L8L2X2, Canada.

Heart Failure Clinics
|November 20, 2025
PubMed

Insights

New targeted therapies are emerging for inherited heart conditions like cardiomyopathy and arrhythmia syndromes. These novel treatments, including gene therapies, offer hope for revolutionizing patient care.

Area of Science:

  • Cardiology
  • Genetics
  • Pharmacology

Background:

  • Inherited cardiomyopathies and arrhythmias cause significant morbidity and mortality, especially in young individuals.
  • Current treatments are not tailored to the specific pathophysiology of these rare genetic heart diseases.
  • Advances in understanding genetics and disease mechanisms are paving the way for novel therapeutic approaches.

Purpose of the Study:

  • To review the emergence and development of targeted therapies for inherited cardiomyopathy and arrhythmia syndromes.
  • To highlight the potential of novel therapeutic classes in revolutionizing patient management.

Main Methods:

  • Review of preclinical models and clinical trial data for novel agents.
  • Categorization of emerging therapies including small molecules, oligonucleotide-based therapies, gene therapy, and gene editing.

Main Results:

  • Several novel therapeutic agents have shown promising results in preclinical and clinical studies.
  • These agents represent diverse classes, including small molecules, antisense oligonucleotides, small interfering RNAs, AAV-mediated gene therapies, and in vivo gene editing.

Conclusions:

  • Targeted therapies hold significant promise for transforming the management of inherited cardiomyopathies and arrhythmias.
  • The development of these novel treatments offers new hope for patients and families affected by these rare conditions.

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