Genetic defects are being increasingly recognized in the etiology of primary cardiomyopathy (CM). Very-long-chain acyl-CoA dehydrogenase (VLCAD) catalyzes the first step in the beta-oxidation spiral of fatty acid metabolism, the crucial pathway for cardiac energy production.
Departments of Pediatrics, Medicine and Molecular Biology and Pharmacology, Washington University School of Medicine, St Louis Children's Hospital, St Louis, MO, USA.