With the aim of studying the involvement of the mitochondrial genome i
n the impairment of heart function, mitochondrial DNA was analyzed by
modified primer shift-polymerase chain reaction in a panel of young pa
tients affected. by primary cardiomyopathies. Mitochondrial DNA molecu
les harboring the 7436 bp deletion were specifically found in cardiomy
opathic patients as compared with a panel of control subjects. The 497
7 bp deletion was commonly detected among the subjects analyzed wherea
s none of the specific tRNA gene point mutations generally associated
with the cardiomyopathic trait were detected. The presence of the 7436
bp deletion as a consequence of a premature aging of the heart muscle
, secondary to heart dysfunction, is discussed.