In this paper the Working Group on Myocardial and Pericardial Disease proposes a revised definition of dilated cardiomyopathy (DCM) in an attempt to bridge the gap between our recent understanding of the disease spectrum and its clinical presentation in relatives, which is key for early diagnosis and the institution of potential preventative measures. We also provide practical hints to identify subsets of the DCM syndrome where aetiology directed management has great clinical relevance.

1st Cardiology Department University of Athens Medical School Athens Greece

2nd Department of Medicine Department of Cardiovascular Medicine General University Hospital and the 1st Faculty of Medicine Charles University Prague Czech Republic

Assistance Publique Hôpitaux de Paris Hôpital Cochin Université Paris Descartes Paris France

Cardiac Imaging Unit Ramón y Cajal University Hospital Madrid Spain

Cardiology Department Maria Vittoria Hospital and University of Torino Torino Italia

Cardiovascular Research Institute Maastricht Department of Cardiology Maastricht University Medical Center Maastricht Netherlands ICIN Netherlands Heart Institute Utrecht Netherlands

Center for Inherited Cardiovascular Diseases IRCCS Foundation Policlinico San Matteo Pavia Italy

Department of Cardiology Freeman Hospital Newcastle upon Tyne UK

Department of Cardiology Odense University Hospital Odense Denmark

Department of Cardiology University Hospital Virgen de Arrixaca Murcia Spain

Department of Cardiology University Medical Center Belgrade Serbia

Department of Cardiology University Medical Center Groningen University of Groningen Groningen The Netherlands

Department of Molecular Pathology Institute for Pathology University Hospital Tübingen Tübingen Germany

Departments of Cardiology and Experimental Cardiology Academic Medical Hospital at the University of Amsterdam Amsterdam The Netherlands

Division of Cardiology Department of Cardiological Thoracic and Vascular Sciences University of Padova Padova Italy

Division of Cardiology Monaldi Hospital 2nd University of Naples Naples Italy

Division of Cardiovascular Imaging and Biostatistics The Heart Hospital London UK

Inherited Cardiac Diseases Unit The Heart Hospital University College London London UK

INSERM UMRS 956 UPMC Univ Paris 6 AP HP Hôpital Pitié Salpêtrière Paris France

Klinik für Innere Medizin 3 Universitätsklinikum des Saarlandes Homburg Germany

Management The Chaim Sheba Medical Center Tel Hashomer The Sackler School of Medicine Tel Aviv University Tel Aviv Israel

Service de cardiologie Pôle cardio vasculaire et Pulmonaire CHRU de Lille Lille France Inserm U1167 Institut Pasteur de Lille Université de Lille 2 Lille France

Université de Versailles Saint Quentin Hôpital Ambroise Paré AP HP Boulogne Billancourt France AP HP Hôpital Pitié Salpêtrière Paris France

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