Doctor insights on:
Whats The Outlook For Dilated Cardiomyopathy
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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