RT journal article T1 The Role of Molecular Autopsy in Concealed Cardiomyopathies A1 Campuzano, Oscar A1 Tiron, Coloma A1 Martínez Barrios, Estefanía A1 Greco, Andrea A1 Cruzalegui, José A1 Chipa, Fredy A1 Cesar, Sergi A1 Merchan, Erika Fernanda A1 Coll, Mónica A1 Fernández Falgueras, Anna A1 Brugada, Ramón A1 Ortega, Marisa A1 Molina, Núria A1 Barberia, Eneko A1 Toro Cebada, Rocío A1 Oliva, Antonio A1 Grassi, Simone A1 Sarquella-Brugada, Georgia A2 Cirugía A2 Medicina K1 molecular autopsy K1 genetics K1 concealed cardiomyopathies K1 arrhythmias K1 sudden cardiac death K1 forensics AB A conclusive and early diagnosis of cardiomyopathy is essential for implementing preventive therapeutic measures and, therefore, reducing the risk of malignant arrhythmias and even sudden cardiac death. Occasionally, this lethal event can be the first manifestation of cardiomyopathy, with or without a clear structural defect. In cases of sudden death, especially in young patients, the autopsy may be ambiguous and therefore lack a definitive diagnosis of cardiomyopathy, although it can sometimes identify signs that lead us to suspect it. This is one of the current challenges of forensic science, where occult cardiomyopathies often remain unidentified without additional testing that is not routinely included in current forensic protocols. In this protocol, it is crucial to perform a molecular autopsy but also to include additional data, especially family history, that will help conclude or at least suspect this entity. Obtaining this diagnosis or suspicion of concealed cardiomyopathy not only provides an answer to the unexpected death but also helps the relatives determine the cause of death. In addition, physicians should initiate a family assessment to identify other family members who may be at risk early and adopt personalized preventive measures. PB Multidisciplinary Digital Publishing Institute (MDPI) SN 2073-4425 YR 2025 FD 2025-10 LK http://hdl.handle.net/10498/39555 UL http://hdl.handle.net/10498/39555 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 05-nov-2026