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Living with Familial idiopathic dilatation of the right atrium

A rare heart condition present from birth in which the heart's right upper chamber is very enlarged, often without symptoms.

Understanding Familial idiopathic dilatation of the right atrium

Familial idiopathic dilatation of the right atrium is a rare heart condition present from birth in which the right upper chamber of the heart is very enlarged.

It usually causes no symptoms and is often found by chance on a heart ultrasound (echocardiogram) or chest X-ray. It can sometimes come with other problems, such as irregular heartbeats, a leaky tricuspid valve, or a blood clot in the atrium.

Signs & symptoms

Many people have no symptoms. GARD lists these among the features that can occur:

  • Palpitations
  • Fainting (syncope)
  • Trouble breathing (dyspnea)
  • Irregular heartbeat (arrhythmia)
  • Atrial fibrillation (quivering upper chambers)
  • Enlarged heart (cardiomegaly)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should I have heart imaging like an echocardiogram?
Do I need monitoring for irregular heart rhythms?
Should my close relatives have their hearts checked?

Quick facts

Symptoms usually startany time in life

The cause is not known. GARD says changes in genes cause it, but doesn't name a gene.

Genetic

Also known as: familial idiopathic dilatation of right atrium; familial idiopathic dilatation of the right atrium (disease); familial idiopathic dilation of right atrium

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial idiopathic dilatation of the right atriumGARD ID 18735 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial idiopathic dilatation of the right atrium.

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