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Doctor insights on: Dilated Cardiomyopathy Vs Congestive Heart Failure

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What is the difference between idiopathic dilated cardiomyopathy and congestive heart failure ? Both terms have been used these past 9 years

What is the difference between idiopathic dilated cardiomyopathy and congestive heart failure ? Both terms have been used these past 9 years

Disease vs. result: Idiopathic dilated cardiomyopathy is a condition in which the heart muscle becomes weak without obvious cause. Some cases are genetic some may have been triggered by a virus. Congestive heart failure, is the result of the weak heart's inability to circulate the blood adequately. This may result in symptoms such as fatigue and shortness of breath and signs such as chest congestion and swelling. ...Read more

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Dr. Joseph Shen
122 doctors shared insights

Dilated Cardiomyopathy (Definition)

Dilated means that the heart is enlarged, & cardiomyopathy means sick heart muscle. There are many reasons for the heart muscle to get weak/dilated including genetic disorders, certain inflammatory conditions, & toxins including alcohol. Many cases are idiopathic, meaning the cause is unknown. Reversal of cardiomyopathy is sometimes possible with treatment, & new ...Read more


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Please explain compensated heart failure/ dilated cardiomyopathy.

Please explain compensated heart failure/ dilated cardiomyopathy.

Complex: One or more chambers of the heart becomes dilated (frequently from uncontrolled blood pressure, mi, or bad valves). The heart gradually becomes insufficient as a pump, usually because one side gets behind in it's work, then pressure rises within the heart, lungs, or peripheral circulation. Medication to improve the pump and/or reduce the volume to be pumped can compensate for the deficiency. ...Read more

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Can a biventricular icd reading show if heart failure is worse in someone with idiopathic dilated cardiomyopathy? What would it show?

ICD: A biv icd is therapy for heart failure and poor left ventricular function. One of the types on the market has an impedance device in it which can predict changes in fluid status. All biv icds do not have this particular technology. Changes in chest impedance can indicate changes in fluid volumes in the chest and heart failure status. ...Read more

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What is the prognosis for a 51 year old with stage 3 heart failure from idiopathic dilated cardiomyopathy? This was before bivent icd.

BiV changes everythi: Resynchronization with a bi-v pacemaker has changed the landscape. Have your ef rechecked several months after the implantation. It may be normal now. If so, your prognosis is excellent. ...Read more

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Is it normal to suffer from depression when you have dilated cardiomyopathy/heart failure? Not wanting to take more meds, any suggestions?

Go out and live!: It is not, but understandable. You may want to consider seeking some professional help from a psychologist or psychiatrist. It may save your live! ...Read more

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Why did i feel so good for 6 weeks after bi vent icd placement then heart failure symptoms returned? I have idiopathic dilated cardiomyopathy.

Why did i feel so good for 6 weeks after bi vent icd placement then heart failure symptoms returned? I have idiopathic dilated cardiomyopathy.

BiV ICD: Sometimes the programming of the device needs to be changed or some other event has changed the relation of the device to the heart. Let your cardiologist know and the device can be analyzed to see if something can be done. ...Read more

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Can a virus or cold affect idiopathic dilated cardiomyopathy/heart failure?Having worse trouble breathing and mucus tinged with blood. No swelling.

Yes! : An infection can affect your heart muscle function due to increased demand. In addition, you may have the heart itself infected. So be very careful, best luck! ...Read more

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I have congestive heart failure with a 30% ejection fraction, hypertrophic cardiomyopathy , and left bundle branch block is it safe for me to fly?

I have  congestive heart failure with a 30% ejection fraction, hypertrophic cardiomyopathy , and left bundle branch block is it safe for me to fly?

Depends: It depends on your overall health. Do you have an icd, are you on daily oxygen, daily medications, can you sit for exended lengths of time, how long is the flight? Commercial airlines have cabin pressures set to about 7000ft. So if you can tolerate that altitude (denver is about 5600ft), air travel may be ok. Discuss with your doctor. Tsa will need to know if you have an icd. ...Read more

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How lethal is a congestive heart failure? My hypertrophic cardiomyopathy has turned into congestive heart failure, how dangerous is it and is it possible to keep it under control?

This : This is a very serious condition requiring close management from a skilled cardiologist, and optimally you should establish care with a large referral center with expertise in hypertrophic cardiomyopathy, such as a university hospital. Hypertrophic cardiomyopathy is not a curable condition, and when it progresses to the point that it causes congestive heart failure symptoms it is typically quite advanced and difficult to manage. There are medications that can help control the heart failure, but you should also be evaluated for advanced therapies such as a defibrillator or even a heart transplant. Your family members should also be screened for this genetic condition if they haven't already. ...Read more

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I had my son at age 39 and developed post partum cardiomyopathy, bilat pneumonia and congestive heart failure and sepsis , ef 15 in ER 4 days after my son was born. Could retained placenta have caused all this? Baby 6 weeks early but perfect. I was pla

I had my son at age 39 and developed post partum cardiomyopathy, bilat pneumonia and congestive heart failure and sepsis , ef 15 in ER 4 days after my son was born.  Could retained placenta have caused all this?
Baby 6 weeks early but perfect.  I was pla

PPCM: Postpartum cardiomyopathy (ppcm) is heart failure secondary to left ventricular systolic dysfunction toward the end of pregnancy or in the months after delivery, in the absence of any other cause of heart failure. Ppcm is a diagnosis of exclusion. Retained placenta is not a cause. ...Read more

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Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?

Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?

Cv words: These all refer to cardiovascular particulars. Pectoris = Chest. Atherosclerosis = vascular wall scarring from cholesterol deposit. Coronary artery disease = narrowing and atherosclerosis of heart arteries. Dilate = expand diameter. Hypertension = high blood pressure (within arterial network). Myocardial = heart. Angina pectoris = pain of chest from coronary artery disease, lack of oxygen to heart ...Read more

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What cough medicine is best for patients that have CHF congestive heart failure?

What cough medicine is best for patients that have CHF congestive heart failure?

No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with ..Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read more

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Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read more

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My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?

My husband has COPD and congestive heart failure. He is 86 and very weak. Docs said this is bad. What is there to help him?

Quality of life : For people at this age no matter what disease they might suffer of the most important thing is quality of life. Certainly depending on how advanced these two conditions are it is crucial to weight the risks of not taking medications as prescribed versus living with unwanted and uncomfortable side effects. Making sure he is comfortable with his treatment and discussing with pcp is vital. ...Read more

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If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.

If you have congestive heart failure.......Would that be seen in an echocardiogram at rest? If not, what tests or such can detect then.

Congestive aheart fa: The diagnosis of congestive heart failure is mstly clinical with edema, shortness of breath, engorged neck veins, liver enlargement and rales in lungs on auscultation.Xray chest, bnp test on blood elevated is done some times and resting echocardiogram is helpful in defining the ejection fraction and other imaging.So resting echo will be helpful along with all others. ...Read more

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Need help. Is 22 too young to have heart disease/congestive heart failure?

Need help. Is 22 too young to have heart disease/congestive heart failure?

It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more

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Would an EKG show congestive heart failure?

Would an EKG show congestive heart failure?

It can: Low voltage in an EKG suggest cardiomyopathy. Which goes by the hand with Heart Failure. - In addition Electrical Alternans in the EKG is also suggestive of heart failure ...Read more

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Can an EKG detect congestive heart failure ?

Can an EKG detect congestive heart failure ?

It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more

Dr. Joseph Shen
3,308 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


Dr. Bennett Werner
755 doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more