See Supplementary Methods for expanded sequencing methods. Briefly, 42 patient DNA samples were newly sequenced by WGS, or previously sequenced using a custom capture panel for 67 or 69 DCM genes.12 WES data were generated in-house from the NA12878 cell line (Coriell Institute for Medical Research, Camden, NJ) using the SureSelectXT Human AllExon V5 ([SSv5], Agilent Technologies, Santa Clara, CA, n=1) and the Clinical Research Exome V2 ([CREv2], Agilent, n=13) capture kits. We also re-analyzed published data from samples that used SureSelectXT Human AllExon V6 ([SSv6], Agilent, n=6) capture kit.13 (link) All genomic data, including previously published data, were analyzed using a GATK best practices analysis pipeline.14 (link) Short variants were annotated, filtered and prioritized using Seave.15 (link) Structural variants (SV) including copy number variants were identified using ClinSV (Minoche et al, manuscript in preparation) which uses a combination of discordantly mapping read pairs, split-mapping reads, and depth of coverage changes. A genomic position was defined as “covered” if the sequencing depth had ≥15 high quality reads.16 (link) Selected variants were confirmed in probands and evaluated in family members using Sanger sequencing and/or PCR.