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Drugs: It depends on the specific type, but generally speaking the answer is drug therapy. Most patients should be on Carvedilol or metoprolol succinate, an ace-inhibitor (ends in -pril) or arb (ends in -artan), and, ideally, an aldosterone blocker like spironolactone. Black patients also benefit from a combination of 2 meds called Hydralazine and isosorbide. Diuretics are used in most patients as well. ...Read more
It depends : Cardiomyopathies can have a wide range of clinical course from very few symptoms for many years to very severe symptoms in a short time period. Most are progressive but may be very gradual. Medications are avfirstbline of treatment. For the most severe, cardiac transplantation is undertaken. ...Read more
Muscle biopsy proof: Myopathy associated with mitochondrial disease. Maternal genetic transmission Short stature,eye muscle paralysis,hearing loss & cardiac conduction defects.Overlap with other mitochondrial myopathies She shold be under the care of neurologist & physiotherapist. ...Read moreSee 2 more doctor answers
The left side of my heart is smaller than the right on echo surely it should be the other way round? I have no c.myopathy but abnormal septal motion
PAH*, ASD: PAH has to be ruled out. Also, ASD. Some ASD's may be overlooked as the echo findings are challenging. Specifically sinus venosus and unroofed coronary sinus. Finally, it could be ARVC, but that is seen less on echo. I would order a TEE and/or cardiac MRI. If they are negative, a right heart cath can measure the pressure on the right side of your heart. *PAH -- pulmonary arterial hypertension ...Read more
Do you have one?: Well, if you're a heavy alcoholic, that can GIVE you an alcoholic myopathy among other things; so that's 1 more reason not to be a boozer. In the case of inflammatory myopathies, a high-protein diet MAY be beneficial. Otherwise, there is no special diet for "myopathys." You've made the mistake of lumping all "myopathys" together. There are many different causes and hence different treatments. ...Read more
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