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Living with Tubular renal disease-cardiomyopathy syndrome

A rare genetic condition that affects how the kidneys handle salts and minerals and weakens the heart muscle.

Understanding Tubular renal disease-cardiomyopathy syndrome

Tubular renal disease-cardiomyopathy syndrome is a rare kidney condition with salt and mineral imbalances and a stretched, weakened heart muscle (dilated cardiomyopathy).

The kidney tubules do not handle minerals normally, leading to low potassium and magnesium and high calcium in the urine. Calcium can build up in the kidneys. The heart muscle can become stretched and thin. It begins in childhood.

Signs & symptoms

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

  • Stretched, thin heart muscle (dilated cardiomyopathy)
  • Heart failure
  • Fluid around the heart or in the lungs
  • Calcium buildup in the kidneys (nephrocalcinosis)
  • Muscle jerks (myoclonic spasms)
  • Joint pain

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, heart and blood vessel specialists and kidney specialists.

  3. Consider genetic testing

    Changes in RRAGD 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 may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists); Kidney specialists (nephrologists)
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 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
Can genetic testing of the RRAGD gene confirm this diagnosis?
How often should the heart and kidneys be checked?
Which specialists, such as a kidney specialist and a heart specialist, should we see?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesRRAGD

This condition is caused by changes in the RRAGD gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticKidney

Also known as: kidney tubulopathy-dilated cardiomyopathy syndrome; tubular renal disease with cardiomyopathy syndrome

Patient organizations

Source: NIH GARD · Tubular renal disease-cardiomyopathy syndromeGARD ID 18920 · 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 Tubular renal disease-cardiomyopathy syndrome.

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