Familial dilated cardiomyopathy with RBM20 mutation in an Indian patient: a case report

• Published in: The Egyptian heart journal 2021-05, Vol.73 (1), p.47-47, Article 47
• Main Authors: Das, Soumi, Seth, Sandeep
• Format: Article
• Language: English
• Subjects: Age; Asymptomatic; Autosomal; Biopsy; Cardiology; Cardiomyopathy; Case Report; Case reports; Consent; Dilated cardiomyopathy; Ejection fraction; Electrocardiogram; Electrocardiography; Genetic aspects; Genetic research; Genetic screening; Health aspects; Heart; Heart diseases; Magnetic resonance imaging; Males; Medicine; Medicine & Public Health; Mortality; Mutation; Patients; Proteins; RBM20; Sudden cardiac death; Transplantation; Valsartan
• ISSN: 2090-911X; 1110-2608; 2090-911X
• DOI: 10.1186/s43044-021-00165-6

Background Dilated cardiomyopathy (DCM) is a disease of the heart muscle characterized by ventricular dilation and a left ventricular ejection fraction of less than 40%. Unlike hypertrophic cardiomyopathy (HCM) and arrhythmogenic right ventricular cardiomyopathy (ARVC), DCM-causing mutations are present in a large number of genes. In the present study, we report a case of the early age of onset of DCM associated with a pathogenic variant in the RBM20 gene in a patient from India. Case presentation A 19-year-old Indian male diagnosed with DCM was suggested for heart transplantation. His ECG showed LBBB and echocardiography showed an ejection fraction of 14%. He had a sudden cardiac death. A detailed family history revealed it to be a case of familial DCM. Genetic screening identified the c.1900C>T variant in the RBM20 gene which led to a missense variant of amino acid 634 (p.Arg634Trp). Conclusion To the best of our knowledge, the variant p.Arg634Trp has been earlier reported in the Western population, but this is the first case of p.Arg634Trp in an Indian patient. The variant has been reported to be pathogenic at an early age of onset; therefore, close clinical follow-up should be done for the family members caring for the variant.