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Living with Lethal congenital glycogen storage disease of heart

A rare inherited condition that affects the heart of babies before or after birth, with breathing and growth problems.

Understanding Lethal congenital glycogen storage disease of heart

Lethal congenital glycogen storage disease of heart is a rare condition in which the heart muscle becomes thick because of stored glycogen (a type of sugar).

It affects babies before or after birth. It is marked by severe heart problems, breathing difficulties, and failure to gain weight. Other features include facial differences, cataracts, enlarged kidneys, and muscle problems.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Enlarged heart (cardiomegaly)
  • Heart failure
  • Slow heartbeat (bradycardia)
  • Low blood pressure
  • Large tongue (macroglossia)
  • Enlarged kidneys

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. Consider genetic testing

    Changes in PRKAG2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Fetal Health Foundation and Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Fetal Health Foundation, Children's Cardiomyopathy Foundation
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 Fetal Health Foundation and other patient organizations
  • 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
Would PRKAG2 gene testing help our family?
Which heart specialists should follow my baby?
Should other family members have heart checks?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesPRKAG2

It is caused by changes in the PRKAG2 gene. It is listed as autosomal dominant, which means one changed copy of the gene is enough.

GeneticInherited Metabolic

Also known as: fatal congenital hypertrophic cardiomyopathy due to glycogen storage disease; fatal congenital hypertrophic cardiomyopathy due to glycogenosis; fatal congenital hypertrophic cardiomyopathy due to gsd; fatal congenital nonlysosomal cardiac glycogenosis; glycogen storage disease caused by mutation in prkag2; glycogen storage disease of heart

Patient organizations

Source: NIH GARD · Lethal congenital glycogen storage disease of heartGARD ID 10728 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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