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Living with Primary familial dilated cardiomyopathy

An inherited heart muscle disease in which the heart becomes thin and enlarged and pumps less well, with no other cause or body-wide signs.

Understanding Primary familial dilated cardiomyopathy

Primary familial dilated cardiomyopathy is a form of heart disease in which the heart muscle becomes thin and enlarged (dilated).

The enlargement typically starts in the lower left chamber and makes it harder for the heart to pump blood. It is called nonsyndromic when it has no other cause and does not affect other parts of the body. Signs usually begin in mid-adulthood but can occur from infancy to late adulthood. They vary, even within a family.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Fluttering or pounding in the chest (palpitations)
  • Shortness of breath, especially lying down or active
  • Tiredness (fatigue)
  • Swelling of the legs and feet
  • Dizziness or fainting
  • Abnormal heart rhythms and heart failure over time

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.

  4. Connect with expert centers

    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: 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 Children's Cardiomyopathy Foundation
  • 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 I have genetic testing, and should my relatives have heart screening?
How often should my heart function and rhythm be checked?
What treatments can protect my heart?

Quick facts

GARD says changes in genes cause this condition but doesn't name a gene in this record.

Genetic

Also known as: familial dilated cardiomyopathy; fdc; hereditary dilated cardiomyopathy; hypokinetic dilated cardiomyopathy, familial

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Primary familial dilated cardiomyopathyGARD ID 20525 · 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 Primary familial dilated cardiomyopathy.

Explore the Primary familial dilated cardiomyopathy blog

Explore research for Primary familial dilated cardiomyopathy

Explore actively recruiting Primary familial dilated cardiomyopathy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Primary familial dilated cardiomyopathy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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