PKP2 Gene & Cardiomyopathy: Patient Resources & Support

patient family with pkp2 genetic cardiomyopathy

Thrive with your PKP2 Gene

Join the PKP2 community
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Maria, 47
Living with the MYH7 cardiomyopathy gene

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Christy Johnson
Living with a DSP cardiomyopathy gene

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James, 34
Caregiver to father with TTN cardiomyopathy gene

Your PKP2 quick-start guide

You don’t need to figure everything out today. Here’s what matters now, and what can wait a few weeks.

What you can do today

Join the PKP2 email list. New PKP2 trials and findings are emerging quickly. Fill out the form below to receive updates about future research and clinical trial opportunities.

Connect With Others: You don’t have to process this alone. Join the PKP2 Cardiomyopathy Facebook community to ask questions, share experiences, and hear from others on the same path.

Talk With Someone Who’s Been There: Not sure where to start? Email us with your questions at info@geneticcardiomyopathy.org

Building your care plan

Find a Specialist. Not all cardiologists specialize in cardiomyopathy or inherited heart conditions. In the coming weeks, connecting with a Cardiomyopathy Specialist can make a meaningful difference in how your care is guided.

Consider Genetic Counseling. A genetic counselor can help you better understand your genetic testing result, what it means for your health, and how to approach conversations with family members who may want to be tested.

Take these resources with you:

Download and print the Doctor Discussion Guide to help you feel organized and confident as you navigate your diagnosis.

Understanding the PKP2 Gene

The “Cell Connector” of the Heart

What happens when PKP2 is not working properly?

When the PKP2 protein is not working as it should, the connections between heart muscle cells can become weaker over time. This can affect both the structure of the heart and its electrical system.

This may lead to inflammation, scarring (fibrosis), weakened heart muscle, and abnormal heart rhythms (arrhythmias). Many people with PKP2 variants develop arrhythmogenic cardiomyopathy (ACM), and in some cases, the heart may also show features of dilated cardiomyopathy (DCM).

Some individuals may experience arrhythmias before any clear changes in heart size or pumping function are seen.

What this means for your care

Because PKP2 variants are strongly associated with heart rhythm issues, regular monitoring is essential. These rhythm changes can sometimes occur even before there are visible changes to the heart muscle. Your care team will use regular checkups to assess your risk and determine if a protective ICD is appropriate for you. 

Because PKP2 cardiomyopathy is genetic, your family members may also benefit from testing. Parents, siblings, and children each have a 50% chance of carrying the same variant. Click here for practical tips on talking with your family members about your genetic results. 

You did not cause this. Genetic variations are a natural part of human biology. Knowing this information now gives you and your care team a powerful tool to protect your heart health and guide your long‑term care.

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Why Specialized Care Matters

Because PKP2 variants are unique, your care should be too. While a general cardiologist is a great starting point, managing genetic cardiomyopathy usually requires a cardiomyopathy genetics specialist.

To find a cardiomyopathy specialist, please click here.

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Sharisse Jiminez
Genetic Counselor

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Sharisse Jimenez-Cyrus
Genetic Counselor

Watch & Learn about PKP2 Cardiomyopathy

Real patients, real doctors, real stories. Watch when you’re ready.

Gene Therapy Clinical Trials for Genetic Cardiomyopathies with Lexeo Therapeutics | 64 min.

Gene Therapy Breakthroughs for Cardiomyopathies: Insights into Tenaya’s Clinical Trials | 60 min.

Dr. Hugh Calkins Discusses the PKP2 Gene Variant | 60 min.

PKP2 Clinical Trials & Research

Progress in this field is steady and continually evolving. We currently know of more than 30 companies that are working on potential new cardiomyopathy therapies (mostly gene-specific), but many have not reached the clinical trial phase yet. We encourage you to visit our clinical trials and research page to view available opportunities that might be right for you.

Be sure to fill out the form below so that we can contact you when we know of any relevant trials or research opportunities. Staying connected means you remain part of the progress, even before specific clinical trials or research studies exist.

DES Webinars

BAG3 DCM Gene Therapy Clinical Trial Studies Webinar – 4.15.2026 | 61 min.

Affinia BAG3 DCM – UPBEAT Clinical Trial Webinar- 6.10.2026 | 1 hr 6 min.

Frequently asked questions about PKP2 Cardiomyopathy

What is the PKP2 gene?

The PKP2 gene helps make plakophilin-2, a protein that holds heart muscle cells together. Certain disease-causing PKP2 variants are linked to arrhythmogenic cardiomyopathy, especially arrhythmogenic right ventricular cardiomyopathy (ARVC). A genetic counselor can explain what your specific genetic test result means.

What is PKP2-related arrhythmogenic cardiomyopathy?

It is a condition that can affect the heart muscle and cause abnormal heart rhythms. Although ARVC is named for the right ventricle, your care team will assess the whole heart. Rhythm changes may sometimes be found before noticeable changes in heart size or pumping function, which is why follow-up matters even if you feel well.

Does a PKP2 variant mean I will develop heart disease?

Not necessarily. People with a disease-causing PKP2 variant can develop different findings at different ages, and some may have no detectable heart changes when first tested. A variant of uncertain significance (VUS) does not establish a diagnosis on its own. Ask a genetic counselor what your result means and whether you need ongoing heart screening.

What symptoms should I tell my care team about?

Tell your care team about a racing or irregular heartbeat, dizziness, fainting, chest discomfort, shortness of breath, or a change in your ability to exercise. Unexplained fainting needs prompt medical evaluation. Some abnormal rhythms cause few symptoms, so keep your recommended appointments even when you feel well.

Is exercise safe if I have a PKP2 variant?

Physical activity is an individual decision to make with your cardiomyopathy specialist. Research has linked frequent, high-intensity exercise with a greater risk of developing or worsening arrhythmogenic cardiomyopathy in some people with disease-causing variants. Ask your specialist what types and amounts of activity are appropriate for your genetic result and heart findings.

Should my family members have genetic testing?

If your PKP2 genetic test finds a pathogenic or likely pathogenic variant, biological relatives may benefit from targeted testing and heart screening. PKP2-related ARVC usually follows an autosomal dominant inheritance pattern: each child of someone with a disease-causing variant has a 50% chance of inheriting it. A genetic counselor can help your family plan the appropriate next steps.

What follow-up care might I need?

Your specialist may recommend an electrocardiogram (ECG), heart rhythm monitoring, an echocardiogram, or a cardiac MRI. These tests help assess changes in heart muscle and rhythm. Your care team will use the results to plan follow-up and discuss whether treatment, including an implantable cardioverter-defibrillator (ICD), is appropriate.

Where can I connect with others affected by PKP2 cardiomyopathy?

GCAC’s PKP2 support group offers a place for patients and families to share experiences and find support. Sign up via the form below.

Join the PKP2 community

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