Doctor insights on:
Who Developed The Treatment Of Dilated Cardiomyopathy
It depends: In general, the treatments for dilated cardiomyopathy are supportive and may include a combination of medications such as beta blockers, angiotensin converting enzyme inhibitors, angiotensin ii receptor blockers, aldosterone antagonists, and diuretics. Mechanical devices may include biventricular pacemakers and ventricular assist devices. Heart transplant may be an option if other treatments fail. ...Read more
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
Not in our lifetimes: Please forgive my frankness. The heart in most dilated cardiomyopathies is largely replaced by scar tissue. The best hope is stem cell work, but routinely curing this is probably decades off. I wish I could give you better news. In the meantime, let's both do what we can to reduce the barriers to making transplant organs available. ...Read more
See cardiologist: Dilated cardiomyopathy is a serious condition in children. It can be a sequel to an infection, to congenital heart disease or to a coronary artery problem. Treatment is complicated and depends on the cause and the severity. Cardiac function and structure need to be thoroughly evaluated. A pediatric cardiologist needs to take care of such patients. ...Read more
It varies: The treatment for dilated cardiomyopathy depends upon the severity of the condition and ranges from medicines to device therapy to cardiac transplantation. Some cases, such as those secondary to viral infections, may improve over time, but most do not. The escalation of therapy depends upon the severity of the condition and the rate at which it is progressing. ...Read more
Multiple treatments: 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
See below:: In mild cases, treatment may not be needed. Heart medicines are used to control symptoms of congestive heart failure and to preserve or improve heart function. Blood thinners may be used to prevent clots from forming within the heart. Rapid heart rhythms are treated by heart medicines and, if life-threatening, implanted cardioverter-defibrillator or pacemakers are used. Transplant is last resort. ...Read more
How could someone have dilated cardiomyopathy and die from it, but doctors never found it? Wouldn't that show on echo or exam?
Cardiomyopathy: Excellent question. Studies show people with cardiomyopathy may have no symptoms but according to the CDC still be at risk for sudden death. Dilated cardiomyopathy can be idiopathic primary or acquired (cocaine, alcohol, diabetic, ischemic) and is actually defined as enlarged volume in heart chambers <40% ejection fraction. WHO-Collectively the most common etiology of clinical heart failure. ...Read more
I have idiopathic dilated cardiomyopathy and a biventricular icd. The problem I am having is there are days I can't seem to stay awake. Normal?
Often not: You seem to have congestive heart failure and are probably on several medications, your symptoms may be from the medications, from variations in your congestive heart failure status, or inadequate effectiveness of your biventricular icd's resynchronization (the special pacing it does to improve your heart's function. See you docrotr. ...Read more
If you have dilated cardiomyopathy caused by prolonged arrhythmia, would it go away when treated properly? Or is damaged- damaged and won't go away?
Yes: Frequent cardiac irregularity such as ventricular premature beats including those considered benign like outflow track PVCs can cause a cardiomyopathy which can be reversible by catheter ablation. This is a possibility when an underlying structural heart disease is ruled out. A cardiologist can help sort this out ...Read more
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
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
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
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
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
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
Weak heart: This literally means 'weak heart muscle'. The most common cause is heart attack (s). When the heart muscle is damaged it becomes weak and the heart can dilate (become bigger). There are several other causes which can happen at any age. For example some viruses can attack the heart and weaken it and alcoholism is another known cause. ...Read more
Ranges: You can have a preserved ejection fraction with dilated cardiomyopathy. ...Read more
Many causes: Although in many cases the cause isn't apparent, dilated cardiomyopathy is likely the result of damage to the myocardium by variety of infectious, metabolic and toxic agents. Toxic causes include - chronic long-term alcohol abuse; chemotherapy (a poison taken to kill cancer cells) with doxorubicin in particular; and more rare exposures to heavy metals, cobalt, organic solvents and mercury. ...Read more
Yes, in some cases: Nearly 20 % of cases of dilated cardiomyopathy have a familial basis. ...Read more
Cor pulmonale: Cor pulmonale is right heart failure due to pulmonary (lung)disease. Generically we can say its right heart failure. Dilated cardiomyopathy is a condition of generalized heart dilation usually resulting in heart failure. Right heart failure often exists in dilated cardiomyopathy because of failure of the right ventricle. ...Read more
Not so good: Prognosis depends on multiple factors, not just ejection fraction. Age, severity of symptoms, and especially cause of cardiomyopathy. Cardiac function may improve in some with treatment. Severely symptomatic heart failure carries a worse prognosis. Best would be to discuss this with a heart failure specialist. ...Read more
Cause and effect: Viral cardiomyopathies are one cause of dilated cardiomyopathies. Other causes of dilated cardiomyopathies include: inherited, metabolic, nutritional, valvular. ...Read more
Please help! What is the difference between dilated cardiomyopathy and hypertrophic cardiomyopathy?
Different causes: The term dilated cardiomyopathy refers to enlargement of the heart, not uncommonly all four chambers. This may or may not be associated with changes in function. Hypertrophic obstructive cardiomyopathy ("hocm ") refers to an abnormal thickening of the left ventricle. ...Read more
Is is possible to have a dilated cardiomyopathy and bradycardia? I take no medicines for the cardiomyopathy.
Yes, it's possible: Bradycardia can go along with cardiomyopathies. It can also be normal in some people, especially athletes. Bradycardia (low heart rate) needs emergency treatment if it causes symptoms: fainting, fatigue, dizziness, chest pain, shortness of breath. If you have been diagnosed with both these things, then you're seeing a cardiologist, probably, who'll know what treatment you need & what to watch for. ...Read more
Abnormalnot specific: There are no ECG features unique to dcm, although the ECG is usually abnormal. Most common ECG abnormalities are associated with atrial and ventricular hypertrophy — typically, left sided changes are seen but there may be signs of biatrial or biventricular hypertrophy. Interventricular conduction delays occur due to cardiac dilatation. Voltage can be reduced by lot of fibrosis. ...Read more
Are PVC's during workout normal? I normally don't have them in stress. I do have a very very mild dilated cardiomyopathy. On age 23.
Maybe: I need more details on the cardiomyopathy you mention. PVCs naturally occur with cardiomyopathy and depending on the frequency may carry some risk. An occasional PVC that is not associated with any other symptoms may be OK. Be sure you have a follow-up with a cardiologist to evaluate this further! ...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 more
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