Doctor insights on:
How Dangerous Is Cardiomyopathy
Clinical Trial Now: Use of adult mesenchymal stem-stromal cells (mscs) are currently in clinical trial in us/internationally. Trend is toward use of fat derived mscs, havested by liposuction, isolated and concentrated in tissue culture. Early reports suggest significant improvement in neurological, autoimmune and organ functions. Many more mscs in fat than bone marrow making ad-msc the center of most research now. ...Read more
Hypertrophic or...: Hypertrophic or dilated cardiomyopathy can both result with hypertrophy generally occurring first. ...Read more
Depends: It depends on the cause and if there are reversible factors. If it is severe and/or progressive, getting to a heart failure specialist is critical, but any cardiomyopathy should have at least a full cardiology consultation to assess the possible treatment paths appropriate for the circumstances. ...Read more
What kind of work is appropriate for an individual with cardiomyopathy? What kind of work is least dangerous for individual with cardiomyopathy, and how to keep it under control?
Depends: Work which does not involve significant physical exertion is best. Each person's disease is a little different, so it is a good idea to discuss work options with your cardiologist. ...Read more
Beer: If you have an alcoholic cardiomyopathy then it is dangerous to have any alcohol including beer. There are many kinds of cardiomyopathy and the doctors who know you and your condition are better qualified to advise you than someone out here who isn't familiar with your medical condition. ...Read more
Yes and yes.: Maternal cardiomyopathy is a severe condition that can prove lethal perinatally. Pregnancy typically exacerbates the chronic heart failure especially postpartum. Expert care by maternal fetal medicine, perinatal anesthesiology, intensivist and cardiologist is paramount to optimize outcomes. Avoid pregnancy and consider pregnancy termination in the first half, if severe heart disease. ...Read more
Gained two pounds over last week or so. Was on vacation. Terrified because I had pvc-induced cardiomyopathy, now resolved. Last echo was 3 weeks ago, EF now 65-70. Is this a dangerous sign even though cardiomyopathy is gone? Really scared.
Ans: You have a very goo Ed. Are you on medications? If you are concerned go see your doctor to discuss your worries and have him examine you ...Read more
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
With a heart rate of 86 - 126 how dangerous is hypotension that drops to 60's/50's? I also have nonischemic cardiomyopathy, copd, and chf.
Various causes: Cardiomyopathy is a generic term for abnormal heart muscle. It can be caused by infections, poisons, genetics, and physiologic causes. There are both weak heart and 'strong heart' cardiomyopathies. The cause of someone's cardiomyopathy requires more information than the term cardiomyopathy. ...Read more
Depends: It depends on the cause. If due to alcohol, abstention often cures it. If due to pregnancy, about 50% return to normal. Due to chemotherapy, it rarely improves. Due to viral illness, many get better. If inherited, it won't get better. All of the above aside, there are medications and sometimes devices that can be very helpful for everyone. ...Read more
Yes, depends on the: Yes it can get better, it depends on the cause. If its due to drinking too much alcohol then stopping alcohol will improve it plus with the help of certain medications such as ace inhibitors or arb, s & certain beta blockers such as carvedilol. If its due to blockage of coronary arteries then revascularization either with a stent or bypass surgery would help. ...Read more
Let discuss this: Cardiomyopathy means damaged heart muscle of any type. This damage indicates the heart is not working effectively as a pump., the most common causes of cardiomyopathy are "ischemic", due to heart attacks or "viral", due to damage done to the heart muscle from a severe viral attack. Like all viral infections this is contracted from other people but they cause disease only in susceptible people. ...Read more
Various causes: Cardiomyopathy is weakened heart muscle contraction. Most common cause is prior heart attacks. However, there are many other potential causes: alcohol (or cocaine) abuse, viral infection (especially coxsackie virus), genetic mutations in certain cardiac structural proteins, uncontrolled hypertension or diabetes, hiv, and toxins such as certain chemotherapy agents are some of these. ...Read more
Depends on cause: Some cardiomyopathies can be treated or rarely "cured" but most cannot. Dilated is the most common. Some curable forms include nutritional, lbbb, tachycardia induced, sarcoid. Most can be treated with medication to stabilize the damage. Some cardiomyopathies will spontaneously improve. Others will progress. Restrictive and hypertrophic can also be managed. 400 characters is too short to answer. ...Read more
Depends: First is confirming the diagnosis, then sorting out the many causes (looking for reversible ones). Symptoms can be controlled with diuretics, but the physiology needs management with ace inhibitors or arbs, and beta-blockers. Spironolactone if severe. Associated arrhythmias require attention. Some cardiomyopathies may resolve over time. Others may require mechanical support or transplant. ...Read more