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Living with Maternally-inherited cardiomyopathy and hearing loss

A rare mitochondrial condition with hearing loss and heart muscle thickening, often with muscle and coordination problems.

Understanding Maternally-inherited cardiomyopathy and hearing loss

Maternally-inherited cardiomyopathy and hearing loss is a rare mitochondrial disease that affects hearing, the heart, and often muscles and the nervous system.

It combines worsening hearing loss from the inner ear with thickened heart muscle. Most people also have brain and muscle symptoms like poor coordination, slurred speech, and muscle weakness. Signs vary and start in childhood or adulthood.

Signs & symptoms

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

  • Hearing loss from the inner ear
  • Thickened heart muscle (hypertrophic cardiomyopathy)
  • Poor coordination (ataxia) and slurred speech
  • Muscle weakness
  • Weak eye movement muscles
  • Trouble exercising (exercise intolerance)

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 MT-TK 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

    Children's Cardiomyopathy Foundation, United Mitochondrial Disease Foundation and MitoAction 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: Children's Cardiomyopathy Foundation, United Mitochondrial Disease Foundation, MitoAction
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 Children's Cardiomyopathy 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
Should we have MT-TK genetic testing for our family?
How often should my heart and hearing be checked?
Which specialists should be on my care team?

Quick facts

Symptoms usually startChild and as an Adult
InheritanceMitochondrial
GenesMT-TK

Changes in the MT-TK gene cause this condition. It is mitochondrial inheritance, meaning it is passed from mother to children through the mitochondria in egg cells.

GeneticInherited MetabolicMitochondrial

Also known as: maternally inherited cardiomyopathy and deafness; maternally inherited cardiomyopathy and hearing loss syndrome; maternally-inherited cardiomyopathy and deafness; mitochondrial dna-related cardiomyopathy and hearing loss; mtdna-related cardiomyopathy and deafness; mtdna-related cardiomyopathy and hearing loss

Patient organizations

Source: NIH GARD · Maternally-inherited cardiomyopathy and hearing lossGARD ID 18719 · 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 Maternally-inherited cardiomyopathy and hearing loss.

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