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February 8, 2026European Heart Journal

Familial cardiomyopathies account for 54% of heart transplants in the Canary Islands.

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Why the study?

Familial cardiomyopathies commonly cause heart transplantation, and genetic advances help identify cases previously considered idiopathic, prompting analysis of transplanted patient characteristics and familial heart disease incidence.

Population

100 transplanted patients

Design

Retrospective data analysis

Key result

Familial cardiomyopathies accounted for 54% of heart transplants in the Canary Islands, with 19% linked to emerin gene mutations and a 72% overall genetic yield.

Authors

CSC Pena SaavedraALA C L Cardenes LeonCAC A C Acosta

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Overview

Supports regional genetic evaluation in transplant candidates; extends founder mutation data in isolated populations.

Key Points

  • Analyze characteristics of heart transplant patients and the incidence of familial cardiomyopathies in the Canary Islands.
  • Conducted a retrospective data analysis of 100 heart transplant patients in the Canary Islands.
  • Reviewed patients' characteristics from December 2019 to February 2025.
  • Performed phenotypic stratification of cardiomyopathies and genetic studies.
  • Differentiated various genes involved in familial cardiomyopathies.
  • 54% of heart transplant patients had familial cardiomyopathies.
  • Dilated cardiomyopathy was the most frequent (74%), with hypertrophic and restrictive at 11% each.
  • The genetic yield was 72%, with 100% in hypertrophic cardiomyopathy.
  • 19% carried a pathogenic emerin gene mutation, a founder mutation in Tenerife.
  • 8 previously diagnosed idiopathic patients were found to have causal mutations.

Structured PICO

P
Population
100 heart transplant patients in the Canary Islands from December 2019 to February 2025
O
Outcome
Incidence of familial heart diseases and characteristics of transplanted patients

Familial cardiomyopathies, particularly those driven by a founder emerin gene mutation, are the leading cause of heart transplantation in the Canary Islands, highlighting the critical role of genetic testing in reclassifying idiopathic cases.

Cite This Study

Saavedra et al. (2025) studied this question. Familial cardiomyopathies accounted for 54% of heart transplants in the Canary Islands, with 19% linked to emerin gene mutations and a 72% overall genetic yield.

synapsesocial.com/papers/698828410fc35cd7a8847a1ahttps://doi.org/10.1093/eurheartj/ehaf784.1384
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