Doctor insights on:
Medicine For Restrictive Cardiomyopathy
What drugs are used to treat restrictive cardiomyopathy, what are their dosages and how often are they taken?
Difficult: Restrictive cardiomyopathy can be very challenging to treat. The main avenues for treatment are diuretics to keep excess fluid off the body and blood pressure control of which there are many different choices. I would recommend finding a good heart failure cardiologist to work with. ...Read more
http://en. Wikipedia. Org/wiki/Restrictive_cardiomyopathy
No easy answer: Adults with restrictive cardiomyopathy have a prolonged course of heart failure, with fatigue, shortness of breath, and worsening activity tolerance. Patients ultimately die of heart failure unless they become candidates for a heart transplant. Blood clots in the heart can be another cause of complications and death in these patients. ...Read more
Typically not good:
There are several causes of restrictive cardiomyopathy, so the prognosis is variable, but is typically limited due to progression of heart failure and potential for heart rhythm problems.
Depending on the cause, there are certain medications and other therapies available.
Some people may be able to pursue heart transplantation, depending on the cause. ...Read more
Depends on cause: Restrictive cardiomyopathy is caused by several different abnormalities, usually an infiltration of an abnormal chemical, such as iron in hemochromatosis, amyloid in amyloidosis, or sarcoidosis. Restrictive cardiomyopathy can also be caused by an abnormal thickening and stiffening of the pericardium which is the lining around the heart, the treatment of which is removing the pericardium. ...Read more
Very few: Assuming that you're talking about restrictive instead of constrictive pericarditis, the problem is usually deposition of material into the heart itself. Since this material cannot usually be removed, the treatment is often aimed at the symptoms unless the heart itself is replaced with transplant. ...Read more
Poor heart function: Stiffness of heart muscle from various causes most common being amyloidosis. This impairs filling of blood into the lower chamber of the heart. As a result the amount of blood leaving the heart is much lower causing fatigue and failure to thrive. Also there is build up of back pressure causing water logging of lungs, liver, abdomen and limbs causing shortness of breath, nausea, poor appetite. ...Read more
Different cause: Symptoms may be similar but treatment is very different. The pericardium can be opened or removed to relieve constriction but restrictive cardiomyopathy does not lend itself to a quick surgical treatment. A number of medications may ameliorate the symptoms but it is important to identify and treat the cause. ...Read more
Cath: A cath is the most accurate way to make diagnosis. ...Read more
Several: Constrictive pericarditis is a condition where the sac around the heart (the pericardium) becomes scarred and shrinks, which does not allow the heart to fill fully. Restrictive cardiomyopathy is a condition where the pericardium is normal, but the heart muscle itself is diseased in a way that does not allow the muscle to relax and the ventricle to fill. The treatment for each is different. ...Read more
Intrinsic/extrinsic: Restrictive cardiomyopathy involves the heart itself becoming stiff and not filling properly which eventually can cause heart failure and need a transplant to treat. Constrictive pericarditis affects the sac around the heart entrapping the heart and causing similar symptoms but may be treated if needed by removing the sac from around the heart by surgery ...Read more
Similar but differen: Constrictive pericarditis and restrictive cardiomyopathy both result in diastolic abnomlities of ventricular filling. CP can be thought of as a heart encased in a porcelain shell. In CP the ventricles fill up until the limits of the calcified pericardium (early filling) and then fill no more. In rc the heart is abnormal. Filling throughout diastole is slowed but possible. Doppler can help. ...Read more
How can I increase my ejection fraction rate and I have an aicd with idiopathic restrictive cardiomyopathy?
Confused: Restrictive cardiomyopathy is not associated with a low ef. Perhaps you meant "idiopathic dilated cardiomyopathy"? Ef can be improved by using a combination of beta blockers (especially coreg), vasodilators (especially ace-inhibitors) and using a resynchronization icd if appropriate in your case. Avoiding alcohol is also mandatory. ...Read more
Extremely difficult: In general, managing fluid status in restrictive cardiomyopathy requires a delicate balance. To avoid excess congestion in the body, it's key to restrict sodium in diet (2 grams daily), and to maximize cardiac forward flow with medications. Diuretics help the body mobilize fluid that accumulates in the abdomen or elsewhere, but one has to be cautious not to overshoot and cause low blood pressure. ...Read more
Can I have operations and be placed completely under anesthesia with a restrictive cardiomyopathy?
Restrictive cmyo: As with any procedure, the risks vs benefits must be considered for whatever the procedure is. It is possible to do surgery/procedures in a restrictive cmyo patient but the risk (s) are increased. The need for the surgery and the benefit to be gained must be balanced with the risks. The consideration is not minor and the cardiologist, FP, surgeon and anesthesia should all have their input. ...Read more
Two separate process: Es. Restrictive cardiomyopathy does not increase risk for heart attack and is rather rare especially compared to heart attacks. ...Read more
See Below: The best is either an echo doppler, MRI of the heart and pericardium or a right heart catheterization. And echo doppler can show that the e to a ratio is very high, indicative of restrictive physiology. Echo or an MRI can also show the pericardium is thick, consistent with constrictive pericarditis. The right heart cath would measure the pressure inside the heart. Presentation is similar. ...Read more
Echocardiography: May also require cardica catheterization.Get a more detailed answer ›
What is the difference between restrictive cardiomyopathy and constrictive pericarditis of the heart disease?
Anatomy: Restriction and constriction both involve limitation to adequate filling of the heart when the heart is relaxing. In restriction, limitation is in the muscle of the heart. In construction, the limitation is in the pericardial sac which surrounds the heart. ...Read more
Can chronic nausea come from my restrictive cardiomyopathy (heart biopsy found this I have sarcoidosis)?
Restrictive cardiomyopathy - my brother has this disease and has severe varicose veins on legs. He is on medication. Is there any known cure for this?
Cure?: There really is no cure for restrictive cardiomyopathy. Sorry. Not sure if veins are related to heart. ...Read more
Restrictive cardiomyopathy - my brother has this disease and has severe varicose veins on legs. He is on medication. Is there any known cure for this.?
Restricitve cm: There are some treatments for this but there is no cure. There is usually signs of impaired filling of the heart and thus there is venous engorgement which could be causing the varicosities. ...Read more
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