Dilated cardiomyopathy is a major contributor to cardiovascular morbidity and mortality worldwide, with non-ischaemic aetiology reported in 30–40% of patients with heart failure. In this Review, Ramos-López and colleagues explore the complex epidemiology and genetic architecture of non-ischaemic dilated cardiomyopathy, reflect on the challenges of accurately assessing its prevalence and discuss environmental factors that modify disease penetrance and phenotype.
- Noemí Ramos-López
- Fernando Domínguez
- Pablo Garcia-Pavia