Information for Family Members
If a family member is suspected or known to have an inherited cardiomyopathy, there may be a risk that you have the same heart condition. It is important to see a cardiologist for a heart check, even if you aren’t experiencing any symptoms. It is routine for relatives considered at-risk of developing an inherited cardiomyopathy to be periodically seen by a cardiologist for heart tests, this is called clinical screening.
You can see your regular GP for a referral to a cardiologist (heart doctor) for clinical screening.
How is Inherited Cardiomyopathy passed through families?
Genetic information is shared between families. If a family member is suspected to have an inherited cardiomyopathy, there is a risk that you may have the same heart condition.
For an inherited cardiomyopathy to develop, one copy of a gene that is involved in your heart function may contain a genetic change (variant) that stops the heart from working as it should. The genetic variant changes the instructions sent out to the body, causing a cardiomyopathy.
Clinical Screening for Family Members
If you have a family member with a cardiomyopathy it is important to see a cardiologist for clinical screening.
- What is Clinical Screening?
- What is Cascade Genetic Testing?
- What Tests are Involved in Clinical Screening?
- What if Nothing Shows up in Clinical Screening?
Clinical screening involves tests that look at the current condition of your heart. These tests are done by a cardiologist (heart doctor) who will look at the structure, electrical rhythm and function of your heart. These tests should be completed by a cardiologist who has expertise in inherited heart conditions.
The cardiologist will make a decision about how often at-risk family members should have clinical screening. Their decision will be based on the relative’s age, family history of the heart problem, and the clinical findings from the first screening.
If a genetic change (variant) has been found that explains your family’s cardiomyopathy, cascade genetic testing may be offered to other family members. This is a process of identifying who in the family does or does not have the same genetic variant as the index person. It can help clarify who needs ongoing clinical screening with a cardiologist.
Choosing to have cascade genetic testing is a personal decision. Discussing the possible consequences and results with friends, family and a genetic counsellor can help with your decision. There can also be factors to consider regarding life insurance.
It is important you speak to a genetic counsellor before any genetic testing. Your GP can refer you to genetic services or cardiac genetic service.
If you have clinical screening as an at-risk relative and nothing is found (i.e., the heart is structurally normal and has a normal rhythm), there is the possibility you do not have the same heart problem as your family. However, we cannot rule out the risk that you could develop disease in the future and so periodic check-ups are important.
It is important that all first-degree family members continue to have clinical screening on a regular basis. Some cardiomyopathies can present later in life. How often a person should be checked is based on their cardiologist’s advice, their current age, and will often be 1-3 yearly.