Dilated cardiomyopathy


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Dilated cardiomyopathy
Heart, front view
Heart, front view
Heart, section through the middle
Alternative Names

Cardiomyopathy - dilated


Treatment

The patient may need to stay in the hospital until acute symptoms start to go away. Treatment is focused on relief of symptoms. Digitalis, vasodilators (drugs that dilate blood vessels), ACE-inhibitors, diuretics (water pills), nutritional supplements, and other medications may be prescribed to reduce symptoms.

The underlying cause should be treated. Some patients may require a biventricular pacemaker. An implantable defibrillator may also be needed to correct any severe arrhythmias (abnormal heart rhythms). A biventricular pacemaker with defibrillation capabilities is available.



A low-salt diet may be prescribed, and fluid may be restricted in some cases. The patient can usually continue their regular activities, if tolerated.

Daily monitoring of body weight may be advised. Weight gain of 3 or 4 pounds or more over 1 or 2 days may indicate fluid accumulation.

Smoking and drinking alcohol may worsen the symptoms.

If the heart function remains poor, a heart transplant may be considered.


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Expectations (prognosis)

The outcome varies. Some patients remain in a stable condition for long periods, some continue to get gradually sicker, and others quickly get worse. Cardiomyopathy can only be corrected if the underlying disease can be cured.


Complications

Calling your health care provider

Call your health care provider if you have symptoms of cardiomyopathy.

If chest pain, palpitations, or faintness develop seek emergency medical treatment immediately.



Review Date: 07/18/2006
Reviewed By: Fabian Arnaldo, M.D., Department of Cardiology, Henry Ford Hospital, Detroit, MI. Review provided by VeriMed Healthcare Network.

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