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Doctor insights on: Whats The Outlook For Dilated Cardiomyopathy

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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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What's dilated cardiomyopathy?

What's dilated cardiomyopathy?

Enlarged heart: Dilated cardiomyopathy is description of an enlarged,poorly contracting heart. It can be due to known factors such as ischemia(coronary),infectiion(virus) drugs(cancer)etc or unknown (idiopathic) which is genetic or familial. The latter is transmitted as autosomal dominant 50% chance of getting it or X linked- mother are carriers but sons get the disease plus muscular dystrophy ...Read more

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What is dilated cardiomyopathy?

What is dilated cardiomyopathy?

Cardiomyopathy: Dilated cardiomyopathy is a weak heart condition. It is serious and requires long term treatment. It is caused by viruses, poisons, alcohol, genetics and other things. It can kill both suddenly and over time. When well treated it is possible to live a long time, sometimes people need a heart transplant. ...Read more

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Symptoms of dilated cardiomyopathy?

Symptoms of dilated cardiomyopathy?

Many symptoms: Cardiomyopathy can cause a variety of symptoms, including fatigue, shortness of breath, easy tiring, exercise intolerance, abnormal heart beats, swelling of legs/feet, dizziness, fainting, difficulties breathing, and others. Learn moe here: http://www.Heart.Org/heartorg/conditions/more/cardiomyopathy/cardiomyopathy_ucm_444459_subhomepage.Jsp. ...Read more

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Is dilated cardiomyopathy reversible?

Is dilated cardiomyopathy reversible?

Depends: Depends on how severe it is. Milder forms can be controlled with medications, which is the majority of patients, and a normal lifestyle is quite possible. The most severe cases may be eligible for heart transplantation, talk to your doctor. ...Read more

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Can dilated cardiomyopathy be treated?

Can dilated cardiomyopathy be treated?

Yes: Any potential causes should be addressed. There are several medications that, in combination, may greatly improve symptoms and slow progression of disease. Lifestyle modifications are appropriate such as tobacco and alcohol abstinence, weight management. In severe cases, there are several surgical options from special pacemakers and defibrillators to heart assist devices to transplantation. ...Read more

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Who discovered dilated cardiomyopathy?

Who discovered dilated cardiomyopathy?

Dilated cardiomyopat: Answering this question is difficult. Dilated cardiomyopathy is a general term. The general condition has likely been present through much if not all of homo sapiens existence. Who first recognized that dilated hearts with congestive failure existed is relatively impossible to pinpoint. ...Read more

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What people get dilated cardiomyopathy?

What people get dilated cardiomyopathy?

All kinds: People from all kinds of different backgrounds end up with dilated cardiomyopathy (dcm) from severe coronary atherosclerotic heart disease and other such identifiable causes. This being written, if no cause is identified, we call it idiopathic dilated cardiomyopathy (idcm). ...Read more

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Can you explain dilated cardiomyopathy?

Not Clear...: Dilated cardiomyopathy, as far as we understand, comes in four broad categories... Genetic, infectious, ischemic, toxic. The term dilated cardiomyopathy describes how the heart looks and squeezes... Dilated, stretched out... Ie a balloon that has been over inflated for weeks, when the air is let out it is much larger than it's original size and doesn't have the same elastic properties. ...Read more

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How dangerous is dilated cardiomyopathy?

How dangerous is dilated cardiomyopathy?

Depends: Depends on how severe it is. Milder forms can be controlled with medications, which is the majority of patients, and a normal lifestyle is quite possible. The most severe cases may be eligible for heart transplantation, talk to your doctor. ...Read more

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How can you treat dilated cardiomyopathy?

Depends: Meds such as acei, b-blockers, water pills, digoxin.Devices such as aicd bi-ventricular pacemakers and left ventricular assist devices. Some pts are transplant candidates. Salt restriction , abstinence from alcohol, aerobic exercize, . ...Read more

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Can you reverse a dilated cardiomyopathy?

There are treatments: Some kinds of dilated cardiomyopathy improve with time, such as those caused by alcohol abuse, which may improve with abstinence. In other cases the standard medications for heart failure do not cure, but can improve heart function and devices like an aicd help control arrythmias. ...Read more

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Can a vad help with dilated cardiomyopathy?

Can a vad help with dilated cardiomyopathy?

Yes: If the cardiomypoathy is severe, and potentially reversible, the lvad can support the circulation while the heart function recovers. In the case of a severe cardiomyopathy, the VAD can support the circulation until a transplant is available, or in some cased be a permanent support instead of a transplant. Most cardiomyopathies are not so severe, and can be treated with medicaions, or a biv pacer. ...Read more

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What causes death in dilated cardiomyopathy?

What causes death in dilated cardiomyopathy?

Heart failure: Many people do quite well for years with cardiomyopathy; it depends why you have it, how well you tolerate the drugs for tx, how healthy your kidneys are, how prone you are to infection.... Your cardiologist should tell you why you have it, an what is being done. ...Read more

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What are the causes of dilated cardiomyopathy?

What are the causes of dilated cardiomyopathy?

Multiple possible: Some cases have no obvious cause. Others may be genetic, viral, uncontrolled hypertension, heart attacks, valve disease, alcohol excess, morbid obesity, or sleep apnea. ...Read more

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What are the tests for dilated cardiomyopathy?

Echocardiogram: Echocardiogram is the definitive first line test for dilated cardiomyopathy. The most common cause of dilated cardiomyopathy is coronary artery disease, so cardiac cath often is also a test required in dilated cardiomyopathy to determine the presence and severity of coronary artery disease. Aortic or mitral valve disease can also cause dilated cardiomyopathy, both detected on echocardiogram. ...Read more

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Why does dilated cardiomyopathy affect your ef?

Sick heart muscle: The ef is the ejection fraction, a measurement of heart function that estimates the percent of the blood volume that is ejected with each heart beat. Normal is usually > 50%. Dilated cardiomyopathy is a condition in which the heart muscle is sick and functions poorly. Because the heart muscle is weakened, it can't pump normally and therefore ejects less blood with each heart beat. Thus a low ef. ...Read more

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What are the symptoms of dilated cardiomyopathy?

Like heart failure : You might feel fatigue, weakness, shortness of breath while you are lying down or physically active, lightheaded, dizzy, fainting, persistent cough of wheezing especial at when you are lying downs. You might have leg, ankle or feet swelling, sudden weight gain or fluid retention, lack of appetite, heart flutters, palpitations and pale skin. ...Read more

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What are the symptoms of dilated cardiomyopathy?

What are the symptoms of dilated cardiomyopathy?

Several: Some patients may be asymptomatic, but others have symptoms that range from exertional fatigue to overt anginal chest pain, to exertional shortness of breath, to overt heart failure with severe shortness of breath on low levels of exertion. The extreme involves syncope from near fatal or fatal ventricular arrhythmias, to fatal or non-fatal myocardial infarction (heart attack). ...Read more

Dr. Barton Cook
419 doctors shared insights

Cardiomyopathy (Definition)

A disease that weakens and enlarges the muscle surrounding the heart. It is a condition that makes it harder for the heart to pump blood and deliver ...Read more