- Upon strong suspicion of mitochondrial disease based on clinical features, consistent with an autosomal recessive or X-linked inheritance pattern.
- Upon strong suspicion of mitochondrial disease based on clinical features, with absent or very mild cardiovascular manifestations.
- Upon suspicion of mitochondrial disease where extracardiac manifestations (acidosis or metabolic alterations and neurological involvement, such as seizures, neuropathy, or myopathy) predominate over cardiovascular ones.
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