What causes cardiomyopathy?

Written by Zhang Yue Mei
Cardiology
Updated on September 24, 2024
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In clinical practice, the most common type of myocarditis is viral myocarditis. Due to a decrease in the body's resistance, the virus invades and damages the myocardium, causing localized and diffuse inflammatory damage to the heart muscle, which poses significant harm to the body. The early clinical symptoms of viral myocarditis often manifest primarily as respiratory and gastrointestinal symptoms, accompanied by palpitations and shortness of breath, necessitating the use of electrocardiograms and myocardial enzyme spectrum tests. Early detection, diagnosis, and treatment of viral myocarditis play a crucial role in the prognosis.

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Written by Tang Li
Cardiology
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How is hypertrophic cardiomyopathy treated?

The treatment of hypertrophic cardiomyopathy aims to improve symptoms, reduce complications, and prevent sudden death. The methods include improving ventricular compliance by reducing outflow tract obstruction, preventing thromboembolic events, and identifying high-risk patients for sudden death. Treatment needs to be individualized, and the main treatments include the following aspects: 1. Medication treatment. Drug treatment is fundamental, and drugs targeting outflow tract obstruction mainly include receptor blockers and non-dihydropyridine calcium channel blockers. For patients with congestive heart failure, targeted treatment is required. Anticoagulation treatment is necessary for patients with atrial fibrillation, and it is worth noting that for patients with chest discomfort, care should be taken to exclude outflow tract obstruction when using nitrate drugs to avoid exacerbation after use. Non-drug treatments include: 1. Surgical treatment: For patients with ineffective drug treatment and heart function class three to four, if there is severe outflow tract obstruction, septal myectomy should be considered. Currently, surgery is listed as the preferred treatment for suitable patients in consensus guidelines in both America and Europe. 2. Alcohol septal ablation; 3. Pacing therapy.

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Written by Zhang Yue Mei
Cardiology
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What department should I register for cardiomyopathy?

Myocardial disease is a common and frequently occurring disease in clinical practice, caused by various reasons leading to pathological changes in the myocardium. Common causes include viral infections, immune system disorders, and other factors, which can lead to degeneration, necrosis, fibrosis, and interstitial edema of the myocardium. This can cause heart failure, arrhythmias, and in severe cases, even death. Therefore, early diagnosis and timely treatment can save patients' lives and alleviate their suffering. It is necessary to consult with a psychiatrist, undergo relevant examinations under the guidance of a psychiatrist, make a clear diagnosis, and actively treat and rescue the patients.

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Written by Liu Yong
Cardiology
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Dilated cardiomyopathy clinical manifestations

Dilated cardiomyopathy is a type of heart disease characterized clinically by a significant enlargement of the heart, a marked reduction in ejection fraction, and a significant decline in heart function. Common clinical manifestations of this disease often present as heart failure symptoms, including chest tightness and shortness of breath after activity, nocturnal paroxysmal breathing difficulties, inability to lie flat, as well as swelling of the lower limbs and abdominal wall, and even conditions such as pleural effusion and ascites. Additionally, it may be associated with various types of arrhythmias, such as premature beats and tachycardia, especially ventricular tachycardia, which are all manifestations of dilated cardiomyopathy.

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Written by Li Hai Wen
Cardiology
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What is dilated cardiomyopathy?

Dilated cardiomyopathy is a relatively common disease in our daily lives. So, what is dilated cardiomyopathy? It refers to a disease characterized primarily by an enlarged heart and a severe reduction in the heart's pumping function. The cause of dilated cardiomyopathy is often unclear. Its clinical symptoms typically present as symptoms of heart failure, such as exertional dyspnea, or severe orthopnea and profuse sweating. Additionally, arrhythmias are also a common manifestation of dilated cardiomyopathy, such as atrial fibrillation, frequent premature ventricular contractions, and ventricular tachycardia. If diagnosed with dilated cardiomyopathy, it is essential to visit the department of cardiology at a hospital for specialized treatment and to take medication as prescribed. (The use of medication should be under the guidance of a professional doctor.)

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Written by Xie Zhi Hong
Cardiology
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How to recover from decreased physical fitness due to dilated cardiomyopathy?

Dilated cardiomyopathy is diagnosed after excluding conditions such as hyperthyroidism, hypertension, coronary heart disease, cardiac hypertrophy, or myocarditis as underlying causes. Generally, the exact cause of dilated cardiomyopathy is unknown, rendering causal treatment impossible. Once diagnosed with dilated cardiomyopathy, it is impossible to completely cure the condition. The only approach is to manage symptoms and prevent further progression of the disease. Typically, this involves the use of beta-blockers, ACE inhibitors, and diuretics. If the patient has severe cardiac dysfunction, drugs like digoxin, which strengthen heart function, may be considered. If medication does not adequately control the condition, other treatments like CRT might be considered, as well as the use of phosphodiesterase inhibitors, diuretics, or intravenous cardiotonic glycosides.