D2I2.
genetic⚑ High burden in India

Cardiomyopathy

is a group of primary diseases of the heart muscle. Early on there may be few or no symptoms. As the disease worsens, shortness of breath, feeling tired, and swelling of the legs may occur, due to the onset of heart failure. An irregular heart beat and fainting may occur. Those affected are at an increased risk of sudden death.

Underlined words are explained — tap any of them.

Symptoms — what it feels like

  • ·Shortness of breath
  • ·Feeling tired
  • ·Swelling of the legs

Causes — why it happens

  • ·Unknown
  • ·
  • ·Heavy alcohol use
  • ·Tobacco smoking
  • ·Heavy metals
  • ·

Treatment

  • ·Depends on type and symptoms

Complications

  • ·Heart failure
  • ·Irregular heart beat
  • ·Sudden death
Did you know?
A heart-failure DNA deletion in ~60 million South Asians is near-absent everywhere else
The MYBPC3 25bp deletion sits in 4-8% of South Asians and raises heritable cardiomyopathy odds about 7-fold; near-absent outside South/Southeast Asia.
↓ Card
Source: Dhandapany 2009, Nature Genetics
150 likely-damaging heart-gene variants seen in South Asians sit clinically unclassified
Across five cardiomyopathy genes, 150 AlphaMissense-'pathogenic' variants appear in South Asians - many absent in Europeans and still labelled 'uncertain'.
↓ Card
Source: D2I2 gnomAD x AlphaMissense scan
One heart gene alone holds 47 unresolved 'damaging' variants seen in South Asians
The D2I2 scan finds 47 South-Asian pathogenic missense variants in MYBPC3 - on top of its famous 25bp deletion.
↓ Card
Source: D2I2 gnomAD x AlphaMissense scan

The sections below are general education drawn from public guidelines (NHS, Mayo, CPIC, WHO, ICMR). They are not individually reviewed by a clinician and are not medical advice — always talk to a doctor about your own health.

When to see a doctor

See a doctor

See a doctor if you get breathless during everyday activity or when lying down, have swelling in your legs or belly, feel your heart fluttering or pounding, or tire far more easily than usual.

Get care urgently

Call emergency services if you have chest pain, faint or nearly faint, or become suddenly very breathless. If a close family member had heart failure or died suddenly at a young age, get checked soon even without symptoms.

General guidance, not a diagnosis. When in doubt, see a doctor.

Questions to ask your doctor

  • ?Which tests (like an ECG, echo, or scan) confirm this?
  • ?Given my family history, should my relatives be screened too?
  • ?Is my type inherited, and what does that mean for my children?
  • ?What activities or exercise are safe for me?
  • ?What symptoms mean I should seek care right away?
  • ?How often will you need to review me?

What to note before your visit

  • ·when symptoms started and what triggers them
  • ·family history of heart problems or sudden death
  • ·any fainting, palpitations, or breathlessness
  • ·current medicines you take

Test yourself

0/4 answered

4 quick questions on Cardiomyopathy. Tap an answer to check it.

1. Cardiomyopathy is a group of diseases affecting which part of the heart?
2. In the early stages of cardiomyopathy, a person often has:
3. As cardiomyopathy worsens, it can lead to:
4. Which of these is a possible cause of cardiomyopathy?
An open question — could you help answer it?

Across the gene set (LMNA, , MYH7, TNNI3, TNNT2), 150 -'' are actually seen in South Asians () - many European-absent and still clinically 'uncertain'. For cardiomyopathy, that's a pool of computationally-damaging, India-relevant, clinically-unresolved variants no one has systematically characterised.

A study that would help: Take the South-Asian-observed, European-absent, ClinVar-uncertain in LMNA, , MYH7, TNNI3, TNNT2 and them for : functional or family segregation to move them from 'uncertain' to a real call. Each is a usable diagnostic result.

Genomics deep dive · verified

A 25-letter deletion carried by tens of millions of South Asians — that European gene panels were never built to see

The finding

A 25-base-pair in the heart gene (Δ25bp) is found almost only in South Asians — roughly 4–8% carry it — and is essentially absent from populations outside South/Southeast Asia. have about 7-fold higher odds of heritable and heart failure (Dhandapany et al., Nature 2009).

Why India specifically

At ~4% of ~1.5 billion South Asians, that is on the order of 60 million — one of the most common disease-linked DNA in any human population, and nearly invisible to built on European cohorts. It is the flagship example of what an blind spot costs.

What's known — and the gap

It is one of the best-characterised South-Asian , yet is incomplete and variable — most never fall ill. WHO progresses to disease, and why, is unresolved. Our scan finds 47 observed South-Asian variants in alone, on top of the wider gene set.

A study you could fund

A South-Asian carrier tracking who progresses — the and lifestyle modifiers that turn a common into overt disease. Directly clinically useful, and a natural first D2I2-funded project.

Plain-language summary adapted from Wikipedia. Not medical advice.